Lipomatosis of the Ileocaecal Valve: A Case Report

Mizanul Hasan; Meher Angez Rahman; Khalil Alshantti

doi:10.18535/ijsrm/v12i06.mp04

Abstract

The lipomatosis of ileocecal valve is characterized by a diffuse infiltration of fatty tissue, most often in the submucous layer. The ileocecal valve becomes enlarged. Lack of distinct capsule differentiate the fat in this condition from a true lipoma. As lipomatosis of the ileocecal valve is a rare condition, with doubtful pathogenesis and somewhat controversial therapy the case is reported. It must be recognized and differentiated from true tumours.

Keywords

LipomatosisIleocecal valveCrohn’s diseaseComputed Tomography. Ultrasound

References

Komagata T, Takebayashi S, Hirasawa K, Fukawa T, Arai M. Extensive lipomatosis of the small bowel and mesentery: CT and MRI findings. Radiat Med.2007;25 (9):480-3. doi:10.1007/s11604-007-0162-2. (PubMed) (Cross Ref) (Google Scholar)DOI ↗Google Scholar ↗
Shenoy R, Rodrigues G, Gopashetty M, Kannaiyan L, Rao S. Segmental jejunal lipomatosis- a rare cause of intestinal obstruction. Yonsei Med J.2003;44(2):359-61. (PubMed) (Google Scholar).Google Scholar ↗
Zettergren, L: Lipo Hyperplasia of the ileocaecal valve. Acta Soc.Med.Upsal.59:61-68,1953.Google Scholar ↗
Lasser, E.C., and Rigler, L.G.: Ileocaecal valve syndrome. Gastroenterology 28:1-16,1955.Google Scholar ↗
Bhupalan AJ, Forbes A, Lloyd-Davies E, Wignall B, Murray-Lyon IM. Lipomatosis of the ileocaecal valve simulating Crohn’s disease. Postgrad Med J.1992;68 (800):455-6. (PMC free article) (PubMed)(Goole-Scholar)Google Scholar ↗
Suarez Moreno RM, Hernandez Ramirez DA, Madrazo Navarro M, Salazar Lozano CR, Martinez Gen R. Multiple intestinal lipomatosis. Case report. Cir Cir. 2010;78(2):163-5 (PubMed)(Goole-Scholar)Google Scholar ↗
Vasiliadis K, Katsamakas M, Nikolaidou A, Christoforidis E, Tsalis K, Tsalikidis A. Submucosal lipoma of the ascending colon as a source of massive lower gastrointestinal bleeding: a case report, Acta Chir Belg.2008;108(3):356-9. (PubMed)(Goole-Scholar)Google Scholar ↗
Ormson MJ, Stephens DH, Carlson HC. CT recognition of intestinal lipomatosis. AJR Am J Roentgenol.1985;144(2):313-4. Doi :10.2214/ajr.144.2.313. (PubMed)(CrossRef)(Goole-Scholar)DOI ↗Google Scholar ↗
Hoeffel C, Crema MD, Belkacem A, Azizi L, Lewin M, Arrive L, et al. Multi- detector row CT: spectrum of diseases involving the ileocecal area. Radiographics. 2006;26(5): 1373-90.doi:10.1148/rg.265045191. (PubMed) (CrossRef) (Goole-Scholar)DOI ↗Google Scholar ↗
Thompson WM. Imaging and findings of lipomas of the gastrointestinal tract. AJR Am J Roentgenol.2005;184(4):1163-71. doi:10.2214/ajr.184.4.01841163. (PubMed) (CrossRef) (Goole-Scholar)DOI ↗Google Scholar ↗
Katsinelos P, Chatzimavroudis G, Zavos C, Paroutoglou G, Papaziogas B, Kountouras J. A novel technique for the treatment of a symptomatic giant colonic lipoma. J Laparoendosc Adv Surg Tech A.2007;17:467-469 (PubMed) (Google Scholar).Google Scholar ↗

[refR-1] Komagata T, Takebayashi S, Hirasawa K, Fukawa T, Arai M. Extensive lipomatosis of the small bowel and mesentery: CT and MRI findings. Radiat Med.2007;25 (9):480-3. doi:10.1007/s11604-007-0162-2. (PubMed) (Cross Ref) (Google Scholar)DOI ↗Google Scholar ↗

[refR-2] Shenoy R, Rodrigues G, Gopashetty M, Kannaiyan L, Rao S. Segmental jejunal lipomatosis- a rare cause of intestinal obstruction. Yonsei Med J.2003;44(2):359-61. (PubMed) (Google Scholar).Google Scholar ↗

[refR-3] Zettergren, L: Lipo Hyperplasia of the ileocaecal valve. Acta Soc.Med.Upsal.59:61-68,1953.Google Scholar ↗

[refR-4] Lasser, E.C., and Rigler, L.G.: Ileocaecal valve syndrome. Gastroenterology 28:1-16,1955.Google Scholar ↗

[refR-5] Bhupalan AJ, Forbes A, Lloyd-Davies E, Wignall B, Murray-Lyon IM. Lipomatosis of the ileocaecal valve simulating Crohn’s disease. Postgrad Med J.1992;68 (800):455-6. (PMC free article) (PubMed)(Goole-Scholar)Google Scholar ↗

[refR-6] Suarez Moreno RM, Hernandez Ramirez DA, Madrazo Navarro M, Salazar Lozano CR, Martinez Gen R. Multiple intestinal lipomatosis. Case report. Cir Cir. 2010;78(2):163-5 (PubMed)(Goole-Scholar)Google Scholar ↗

[refR-7] Vasiliadis K, Katsamakas M, Nikolaidou A, Christoforidis E, Tsalis K, Tsalikidis A. Submucosal lipoma of the ascending colon as a source of massive lower gastrointestinal bleeding: a case report, Acta Chir Belg.2008;108(3):356-9. (PubMed)(Goole-Scholar)Google Scholar ↗

[refR-8] Ormson MJ, Stephens DH, Carlson HC. CT recognition of intestinal lipomatosis. AJR Am J Roentgenol.1985;144(2):313-4. Doi :10.2214/ajr.144.2.313. (PubMed)(CrossRef)(Goole-Scholar)DOI ↗Google Scholar ↗

[refR-9] Hoeffel C, Crema MD, Belkacem A, Azizi L, Lewin M, Arrive L, et al. Multi- detector row CT: spectrum of diseases involving the ileocecal area. Radiographics. 2006;26(5): 1373-90.doi:10.1148/rg.265045191. (PubMed) (CrossRef) (Goole-Scholar)DOI ↗Google Scholar ↗

[refR-10] Thompson WM. Imaging and findings of lipomas of the gastrointestinal tract. AJR Am J Roentgenol.2005;184(4):1163-71. doi:10.2214/ajr.184.4.01841163. (PubMed) (CrossRef) (Goole-Scholar)DOI ↗Google Scholar ↗

[refR-11] Katsinelos P, Chatzimavroudis G, Zavos C, Paroutoglou G, Papaziogas B, Kountouras J. A novel technique for the treatment of a symptomatic giant colonic lipoma. J Laparoendosc Adv Surg Tech A.2007;17:467-469 (PubMed) (Google Scholar).Google Scholar ↗