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Ann R Coll Surg Engl ; 98(8): e203-e205, 2016 Nov.
Article in English | MEDLINE | ID: mdl-27551904

ABSTRACT

Although sporadic lipomas are not uncommon in the upper gastrointestinal tract, diffuse gastroduodenal lipomatosis is a rare clinical entity. Medical literature reveals a limited number of such cases presenting with upper gastrointestinal obstruction or bleeding. We present the management experience of a 43-year-old woman who presented with intussusception causing high small-bowel obstruction secondary to jejunal lipomatosis. Computed tomography showed diffuse fatty thickening of the gastric wall in addition to multiple lipomas in stomach, duodenum and in the jejunum with jejunal intussusception. As complete resection of the affected segment was not possible, a side-to-side jejunal bypass was made. The patient remains well on review after 18 months.


Subject(s)
Duodenal Neoplasms/complications , Intussusception/etiology , Lipoma/complications , Stomach Diseases/etiology , Stomach Neoplasms/complications , Adult , Duodenal Neoplasms/diagnosis , Duodenal Neoplasms/diagnostic imaging , Duodenal Neoplasms/surgery , Female , Humans , Intussusception/diagnosis , Intussusception/diagnostic imaging , Lipoma/diagnosis , Lipoma/diagnostic imaging , Lipoma/surgery , Stomach Diseases/diagnosis , Stomach Diseases/diagnostic imaging , Stomach Neoplasms/diagnosis , Stomach Neoplasms/diagnostic imaging , Stomach Neoplasms/surgery , Tomography, X-Ray Computed
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