Diffuse colonic lipomatosis with giant hypertrophy of the epiploic appendices and diverticulosis of the colon. Report of a case and review of the literature.
OBJECTIVE
A case of diffuse colonic lipomatosis, dolichosigmoid, hypertrophy of the epiploic appendices and diverticulosis of the colon producing constipation, recurrent sub-occlusive episodes with diarrhea and vomiting, and weight loss is reported.


METHODS
Careful preoperative assessment of clinical, radiologic, and endoscopic findings suggested the diagnosis.


RESULTS
A total colectomy, followed by a lateroterminal ileoproctostomy, gave complete relief from symptoms.


CONCLUSIONS
Of the 12 cases of colonic lipomatosis previously reported, only 2 have isolated involvement of the entire organ, but they do not present lipomatosis of the epiploic appendices.
Catania
G
G
Department of Surgery, University of Catania, Italy.
Petralia
G A
GA
Migliore
M
M
Cardì
F
F
D000328:Adult; D003108:Colonic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D004241:Diverticulum, Colon / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008068:Lipomatosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D009852:Omentum / Q000473:pathology*; D014057:Tomography, X-Ray Computed