Skip to main content

Advertisement

Log in

Magnetic resonance imaging features of multiple duodenal lipomas: a rare cause of intestinal obstruction

  • Case report
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

A 65-year-old man was evaluated because of vomiting and epigastric pain. The patient underwent upper gastrointestinal endoscopy and endoscopic ultrasound examination and was found to have multiple polypoid lesions in the D1 and D2 portions of the duodenum, causing almost complete obstruction of the duodenal lumen. The lesions were hyperintense on T1-weighted and intermediately intense on T2-weighted images, with a drop in signal on T1- and T2-weighted fat-suppressed images, consistent with a diagnosis of duodenal lipomas. Pathohistological examination confirmed the diagnosis of duodenal lipomas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Thompson WM. Imaging and findings of lipomas of the gastrointestinal tract. AJR. 2005;184:1163–71.

    PubMed  Google Scholar 

  2. Chang CW, Chu CH, Shih SC, Chen MJ, Yang TL, Chang WH. Duodenal polypoid lipoma with bleeding. Am J Surg. 2010;200:49–50.

    Article  Google Scholar 

  3. Blanchet MC, Arnal E, Paparel P, Grima F, Voiglio EJ, Caillot JL. Obstructive duodenal lipoma successfully treated by endoscopic polypectomy. Gastrointest Endosc. 2003;58:938–9.

    Article  PubMed  Google Scholar 

  4. Sou S, Nomura H, Takaki Y, Nagahama T, Matsubara F, Matsui T, et al. Hemorrhagic duodenal lipoma managed by endoscopic resection. J Gastroenterol Hepatol. 2006;21:479–81.

    Article  PubMed  Google Scholar 

  5. Chen HT, Xu GQ, Wang LJ, Chen YP, Li YM. Sonographic features of duodenal lipomas in eight clinicopathologically diagnosed patients. World J Gastroenterol. 2011;17(23):2855–9.

    PubMed  Google Scholar 

  6. Genchellac H, Demir MK, Ozdemir H, Unlu E, Temizoz O. Computed tomographic and magnetic resonance imaging findings of asymptomatic intra-abdominal gastrointestinal system lipomas. J Comput Assist Tomogr. 2008;32(6):841–7.

    Article  PubMed  Google Scholar 

  7. Delfaut EM, Beltran J, Johnson G, Rousseau J, Marchandise X, Cotten A. Fat suppression in MR imaging: techniques and pitfalls. Radiographics. 1999;19:373–82.

    PubMed  CAS  Google Scholar 

  8. Taylor AJ, Stewart ET, Dodds WJ. Gastrointestinal lipomas: a radiologic and pathologic review. AJR. 1990;155(6):1205–10.

    PubMed  CAS  Google Scholar 

  9. Bal A, Joshi K, Vaiphei K, Wig JD. Primary duodenal neoplasms: a retrospective clinico-pathological analysis. World J Gastroenterol. 2007;13(7):1108–11.

    PubMed  Google Scholar 

  10. Dooms GC, Hricak H, Sollitto RA, Higgins CB. Lipomatous tumors and tumors with fatty component: MR imaging potential and comparison of MR and CT results. Radiology. 1985;157:479–83.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jelena Djokić Kovač.

About this article

Cite this article

Kovač, J.D., Dunjić, M.K., Bjelović, M. et al. Magnetic resonance imaging features of multiple duodenal lipomas: a rare cause of intestinal obstruction. Jpn J Radiol 30, 676–679 (2012). https://doi.org/10.1007/s11604-012-0098-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-012-0098-z

Keywords

Navigation