A rare case of multiple intussusceptions: intense segmentary lipomatosis of the ileum.
We report a patient who presented with intestinal obstruction; his small intestine showed intense segmentary lipomatosis associated with unusually situated multiple intussusceptions. Preoperatively, we diagnosed intussusceptions in the ileocecal region by ultrasonography and computed tomographic scan. During surgery, the ileum was dilated and contained numerous movable polypoid masses. One reducible intussusception was encountered in the ileocecal region. In addition, an ileoileal intussusception that could not be reduced was resected with an end-to-end anastomosis. At histological examination, more than 150 submucosal lipomas were found.
Young
T H
TH
Department of Internal Medicine, Surgery and Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Ho
P
P
Lee
H S
HS
Shyu
R Y
RY
Tang
H S
HS
Hsu
C T
CT
Chao
Y C
YC
D000328:Adult; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000209:etiology / Q000473:pathology; D007080:Ileocecal Valve / Q000473:pathology; D007082:Ileum / Q000473:pathology; D007443:Intussusception / Q000209:etiology* / Q000473:pathology; D008068:Lipomatosis / Q000150:complications* / Q000473:pathology; D008297:Male