Ileocolic intussusception due to lipomatosis of the ileum: a common complication of a rare clinical entity

• Published in: JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR) Vol. 97; no. 1; pp. 36 - 38
• Main Authors: Eyselbergs, M, Ceulemans, L J, De Bontridder, S, Vanhoenacker, F, Van Overbeke, L, Quanten, I, Jacomen, G, Snoeckx, A
• Format: Journal Article
• Language: English
• Published: Belgium Ubiquity Press 01.01.2014
• Subjects: Diagnosis, Differential; Humans; Ileal Diseases - diagnostic imaging; Ileal Diseases - etiology; Ileum - diagnostic imaging; Intestinal Obstruction - diagnostic imaging; Intestinal Obstruction - etiology; Intestine, Small - diagnostic imaging; Intussusception - diagnostic imaging; Intussusception - etiology; Lipoma - complications; Lipoma - diagnostic imaging; Lipoma and lipomatosis; Male; Middle Aged; Tomography, X-Ray Computed - methods
• ISSN: 0302-7430; 2514-8281
• DOI: 10.5334/jbr-btr.3

We report a case of intestinal ileal lipomatosis in a 56-year-old Caucasian male complicated with small bowel obstruction due to ileocolic intussusception with a lipoma serving as lead point. This rare disease is often only discovered incidentally as a consequence of mechanical complications and not well reported in the international literature, compared to intussusception due to an isolated lipoma. Computed tomography is the imaging modality of choice to depict complications of this distinct clinicopathological entity. Density measurements can confirm the fatty content and homogeneity analysis of the lesions can guide the radiologist in the differential diagnosis.