Multiple Lipomas of the Ileum with Multiple Diverticula Causing Volvulus, Report of a Case Naoki Kakihara 1,2 , Osamu Nakai 1 , Toshio Sekioka 1 , Sorou Takeda 3 , Masashi Kodama 5 1Department of Surgery, Uji Tokushukai Hospital 3Department of Internal Medicine, Uji Tokushukai Hospital 5The First Department of Surgery, Shiga Medical University Keyword: 腸捻転 , 腸閉塞 , 小腸多発性脂肪腫 , 小腸多発性憩室 pp.101-105
Published Date 1997/1/25
DOI https://doi.org/10.11477/mf.1403104960
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 A 58-year-old woman was admitted with the complaint of abdominal pain and vomiting. Abdominal x-ray films revealed ileus, but it improved without operation. Radiographic studies of the small bowel showed numerous round filling defects and diverticula. Barium enema studies showed coiled stricture of the terminal ileum. CT scan revealed multiple low density areas in the ileum and volvulus of the ileum. We diagnosed her illness as multiple lipomas of terminal ileum. As for the operative findings, numerous soft movable masses were palpated in the 100 cm long segment of the ileum. This segment was markedly dilated and its mesenterium was twisted. The affected segment of the ileum was resected. Pathological examination yieled a diagnosis of multiple lipomas and diverticula of the ileum.

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