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Multiple lipomas of the ileum with volvulus
Archives of Surgery (Chicago, Ill. : 1960)
|September 1, 1977
Summary
Multiple lipomas in the small intestine caused a rare case of volvulus and obstruction. Surgical intervention successfully removed the lipomas and resolved the obstruction, with no recurrence observed.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Multiple lipomas can present as a rare cause of gastrointestinal obstruction.
- Small intestinal volvulus is a surgical emergency requiring prompt diagnosis and management.
Observation:
- A patient presented with progressive abdominal pain and distention due to multiple small intestinal lipomas.
- Radiographic imaging revealed numerous filling defects suggestive of intraluminal masses.
- Surgical exploration identified a significantly dilated ileum with a 720-degree clockwise volvulus.
Findings:
- The volvulus involved 115 submucosal and 26 subserosal lipomas within the dilated ileum.
- Histological examination confirmed the lipomas were benign, composed of mature adipose tissue.
- The patient underwent successful ileal resection and volvulus reduction.
Implications:
- This case highlights the importance of considering lipomas in the differential diagnosis of small bowel obstruction.
- Surgical management is effective for symptomatic multiple lipomas causing volvulus.
- Long-term follow-up confirmed the absence of residual disease or recurrence.