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Multiple intestinal lipomatosis. Case report.
Roberto Manuel Suárez Moreno1, Daniel Alejandro Hernández Ramírez, Mario Madrazo Navarro
1Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico. DF, Mexico. roberto.suarezm@imss.gob.mx
Intestinal lipomatosis, a rare condition, typically presents asymptomatically. This case highlights multiple lipomas across the stomach and small intestine, diagnosed via CT and barium studies, requiring no intervention.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Intestinal lipomatosis is a rare condition with low autopsy incidence.
- Most cases are asymptomatic; symptomatic cases present with obstruction or bleeding.
- Diagnostic tools include barium studies, ultrasonography, and computed tomography (CT).
Observation:
- A 51-year-old male presented with abdominal pain, tachycardia, headache, and nausea.
- Previous evaluation for gastrointestinal bleeding one year prior.
- Abdominal CT revealed multiple submucosal masses in the stomach and small bowel.
Findings:
- CT and barium studies indicated features typical of lipomas.
- The lipomas affected the stomach, duodenum, jejunum, and ileum.
- No surgical or invasive treatment was required for the asymptomatic lipomas.
Implications:
- Lipomas are the most common benign small bowel tumors.
- This case is unusual due to the widespread distribution of lipomas.
- Typical radiographic findings can enable preoperative diagnosis of intestinal lipomas.
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