Skip to main content

Advertisement

SpringerLink
Log in

Diffuse colonic lipomatosis with giant hypertrophy of the epiploic appendices and diverticulosis of the colon

Report of a case and review of the literature

  • Case Report
  • Published:
Diseases of the Colon & Rectum

Abstract

PURPOSE: A case of diffuse colonic lipomatosis, dolichosigmoid, hypertrophy of the epiploic appendices and diverticulosis of the colon producing constipation, recurrent subocclusive episodes with diarrhea and vomiting, and weight loss is reported. METHODS: Careful preoperative assessment of clinical, radiologie, and endoscopie findings suggested the diagnosis. Results: A total colectomy, followed by a lateroterminal ileoproctostomy, gave complete relief from symptoms. Conclusions: Of the 12 cases of colonic lipomatosis previously reported, only 2 have isolated involvement of the entire organ, but they do not present lipomatosis of the epiploic appendices.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ramirez JM, Ortego J, Deus J, Bustamante E, Lozano R, Dominguez M. Lipomatous polyposis of the colon. Br J Surg 1993;80:349–50.

    PubMed  Google Scholar 

  2. De Mattei GF, De Nisi A, Saggese MP, Fabbri R, Podestà A. Considerazioni a proposito di un caso di invaginazione colo-colica (colon trasverso) da voluminoso lipoma polipoide in soggetto adulte. Minerva Chir 1990;45:517–22.

    PubMed  Google Scholar 

  3. Ling CS, Leagus C, Stahlgren LH. Intestinal lipomatosis. Surgery 1959;46:1054–9.

    PubMed  Google Scholar 

  4. O'Connel DJ, Shaw DG, Swain VA. Epiploic lipomatosis and lipomatous polyposis of the colon. Br J Radiol 1976;49:969–71.

    PubMed  Google Scholar 

  5. Yatto RP. Colonic lipomatosis. Am J Gastroenterol 1982;77:436–7.

    PubMed  Google Scholar 

  6. Kaplan P. Submucous lipoma of the colon. Int Surg 1971;56:113–7.

    PubMed  Google Scholar 

  7. Berk RN, Werner LG. Lipoma of the colon. Am J Gastroenterol 1974;61:145–50.

    PubMed  Google Scholar 

  8. Mayo CW, Pagtalunan RJ, Brown DJ. Lipoma of the alimentary tract. Surgery 1963;53:598–603.

    PubMed  Google Scholar 

  9. Jaworski RC. Benign mesenchymal tumours of the colon and rectum: a retrospective study. Aust N Z J Surg 1980;50:586–8.

    PubMed  Google Scholar 

  10. Abu Dalu J, Urca I. Lipoma of the colon: report of three cases. Dis Colon Rectum 1972;15:370–2.

    PubMed  Google Scholar 

  11. Haller JD, Roberts TW. Lipomas of the colon: a clinicopathologic study of 20 cases. Surgery 1964;55:773–81.

    PubMed  Google Scholar 

  12. Weinberg T, Feldman M Sr. Lipomas of the gastrointestinal tract. Am J Clin Pathol 1955;25:272–81.

    PubMed  Google Scholar 

  13. Comfort MW. Submucous lipomata of the gastrointestinal tract: report of twenty-eight cases. Surg Gynecol Obstet 1931;52:101–18.

    Google Scholar 

  14. De Beer RA, Shynia H. Colonie lipomas: an endoscopic analysis. Gastrointest Endosc 1975;22:90–1.

    PubMed  Google Scholar 

  15. Long GC, Dockerty MB, Waugh JM. Lipomas of the colon. Surg Clin North Am 1955;35:1283–8.

    Google Scholar 

  16. Taylor BA, Wolff BG. Colonie lipomas: report of two unusual cases and review of the Mayo Clinic experience, 1976–1985. Dis Colon Rectum 1987;30:888–93.

    PubMed  Google Scholar 

  17. Gordon RT, Beal JM. Lipoma of the colon. Arch Surg 1978;113:897–9.

    PubMed  Google Scholar 

  18. Ackerman NB, Chughtai SQ. Symptomatic lipomas of the gastrointestinal tract. Surg Gynecol Obstet 1975;141:565–8.

    PubMed  Google Scholar 

  19. Rodriguez DI, Drehner DM, Beck DE, McCauley CE. Colonie lipoma as a source of massive hemorrhage: report of a case. Dis Colon Rectum 1990;33:977–9.

    PubMed  Google Scholar 

  20. Castro EB, Stearns MW. Lipoma of the large intestine: a review of 45 cases. Dis Colon Rectum 1972;15:441–4.

    PubMed  Google Scholar 

  21. Falcetto G, Paduos A, Alluminio P. Invaginazione intestinale da lipoma peduncolato sottomucoso del grosso intestino. Minerva Chir 1990;45:523–6.

    PubMed  Google Scholar 

  22. Bruneton JN, Quoy AM, Dageville X, Lecomte P. Lipomas of the digestive tract: review of literature a propose of 5 cases. Ann Gastroenterol Hepatol (Paris) 1984;20:27–32.

    Google Scholar 

  23. Shah IC, Shah AM, Pardanani RH, Creedon JJ. Lipomatosis of the ileocecal valve causing recurrent small bowel obstruction. Int Surg 1985;70:81–2.

    PubMed  Google Scholar 

  24. Skaane P, Eide TJ, Westgaard T, Gauperaa T. Lipomatosis and true lipomas of the ileocecal valve. ROFO Fortschr Geb Rontgenstr Nuklearmed 1981;135:663–8.

    PubMed  Google Scholar 

  25. Hayashi I, Katsuda Y, Nakahara K, Furusawa M, Nobe Y, Koga M. Case of lipohyperplasia of the ileocecal valve with adenocarcinoma of the ascending colon. Gan No Rinsho 1983;29:1476–9.

    PubMed  Google Scholar 

  26. Gentile F, Magli F, Mancini P, Tempesti M, Caravelli M. La lipomatosi della valvola ileo-ciecale. Minerva Chir 1986;41:85–8.

    PubMed  Google Scholar 

  27. Ryan J, Martin JE, Pollock DJ. Fatty tumours of the large intestine: a clinicophatological review of 13 cases. Br J Surg 1989;76:793–6.

    PubMed  Google Scholar 

  28. Tawfic OW, McGregor DH. Lipohyperplasia of the ileocecal valve. Am J Gastroenterol 1992;87:82–7.

    PubMed  Google Scholar 

  29. Lasagna B, Soldati T, Botto-Micca F, Resegotti A, Garino M. La lipoiperplasia della valvola ileo-ciecale: osservazione di due casi operati in fase occlusiva. Minerva Chir 1992;47:73–5.

    PubMed  Google Scholar 

  30. Bhupalan AJ, Forbes A, Lloyd-Davies E, Wignall B, Murray-Lyon IM. Lipomatosis of the ileocecal valve simulating Crohn's disease. Postgrad Med J 1992;68:455–6.

    PubMed  Google Scholar 

  31. Swain VA, Young WF, Pringle EM. Hypertrophy of the appendices epiploicae and lipomatous polyposis of the colon. Gut 1969;10:587–9.

    PubMed  Google Scholar 

  32. Danoff DM, Nisenbaum HL, Stewart BW, Moore RC, Clahassey EB. Segmental polypoid lipomatosis of the colon. AJR 1977:858–60.

  33. Ohanessian JH, Aubert M, Widgren S, Liberelle B, Magne JL, Latreille R. Segmentai colonic lipomatosis: a case of isolated caecocolonic lipomatosis. J Chir (Paris) 1980;117:107–9.

    Google Scholar 

  34. Usmiani J, Ulatowski L, Winter J. Diffuse polypoid lipomatosis coli with hypertrophy of the appendices epiploicae in congenital lipomatosis. Dtsch Med Wochenschr 1980;105:1720–2.

    PubMed  Google Scholar 

  35. Greiner L. Diffuse colonic lipomatosis with giant diverticulosis. Med Welt 1980;31:1380–1.

    PubMed  Google Scholar 

  36. Reeder PH, Hopens T. Intestinal lipomatosis — an unusual case. Am J Gastroenterol 1983;78:185–88.

    PubMed  Google Scholar 

  37. Basov VV, Frolova TS. Total intestinal lipomatosis complicated by invagination of the ileum. Vestn Khir 1984;132:106–7.

    Google Scholar 

  38. Bohm E, Tiedjen KU, Ernst R, Schafer K. Multiple lipomas of the colon: case report with clinical, roentgenologic, angiographic and histologie findings. Leber Magen Darm 1988;18:265–9.

    PubMed  Google Scholar 

  39. Godenne GD, Burk EC, Hallenbeck GA. Epiploic lipomatosis: report of case. Mayo Clinic Proc 1957;32:370–2.

    Google Scholar 

  40. Snover DC. Atypical lipomas of the colon: report of two cases with pseudomalignant features. Dis Colon Rectum 1984;27:485–8.

    PubMed  Google Scholar 

  41. Smith FR, Mayo CW. Submucous lipomas of the small intestine. Am J Surg 1950;80:922–8.

    PubMed  Google Scholar 

  42. Notaro JR, Masser PA. Annular colon lipoma: a case report and review of the literature. Surgery 1991;110:570–2.

    PubMed  Google Scholar 

  43. Key JC, Roberts JW. Massive bleeding from colonic lipoma. Arch Surg 1980;115:889–90.

    Google Scholar 

  44. Ewing J. Neoplastic disease: a treatis on tumors. 4th ed. Philadelphia: WB Saunders, 1940:190–6.

    Google Scholar 

  45. Sheean AL, Warren BF, Gear MW, Shepherd NA. Fat-wrapping in Crohn's disease: pathological basis and relevance to surgical practice. Br J Surg 1992;79:955–8.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Section of General and Oncological Surgery, University of Catania, Catania, Italy

    Gaetano Catania M.D.,  Gloria A. Petralia M.D., Marcello Migliore M.D., Ph.D. & Francesco Cardì M.D.

Authors
  1. Gaetano Catania M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gloria A. Petralia M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marcello Migliore M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Francesco Cardì M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Catania, G., Petralia, G.A., Migliore, M. et al. Diffuse colonic lipomatosis with giant hypertrophy of the epiploic appendices and diverticulosis of the colon. Dis Colon Rectum 38, 769–775 (1995). https://doi.org/10.1007/BF02048039

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02048039

Key words

Search

Navigation