DISTAL ILEAL STENOSING SUBSEROSAL LIPOMA: A CASE REPORT

Emmanuel Innocent, Kwaghe B. Vandhi, Ajetunmobi Olanrewaju, Akpa Philip Ojile, 2 2 3 Misauno MA, NabasuLemech Ezra, DikkolNendangtokDakup

Available online Jul 19, 2018.

[ Report ] Volume 24, Issue 4, 2015, Pages 370-373


Abstract

Lipoma is the commonest soft tissue tumour and ubiquitous in distribution.The gastrointestinal tract is a rare site for
this neoplasm.This 38 years old patient presented to the surgical emergency unit of the Jos University Teaching
Hospital with features of intestinal obstruction which was confirmed by plain abdominal X-ray. Patient was
resuscitated and had exploratory laparotomy. At surgery,a dilated,oedematous,and pale segment of ileum was seen
measuring 56cm in length and 10cm short of the ileo-caecal junction, where an obstruction had occurred.The distal
segment was collapsed.A limited right hemi-colectomy was done with ileocolic anastomosis.Specimen received at the
Histopathology Laboratory consisted of 45cm of the ileum,the caecum,appendix,and proximal 25cm of the colon in
continuity.There was stenosis affecting the distal 30cm of the ileum.The wall of the stenosed part of ileum had
intramural fat at the sub-serosal locale. Histology confirmed the presence of sheets of matured adipocytes between
the muscularispropria and serosa.Patient condition improved and was discharged seven days after surgery.This case is
reported five months after surgery.We recommend that lipoma be at all times considered in the differential diagnosis
of intestinal obstruction.


Keywords

SUBSEROSAL LIPOMA, ILEAL STENOSIS, INTESTINAL OBSTRUCTION.,

October -December 2015

Volume 24 | Issue 4

Page Nos. 370-373

Online since Jul 12, 2018

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