Intestinal Lipoma of the Jejunum, Report of a Case Kazuhiro Tanegashima 1 , Koichi Suzuki 1 , Shou Sairo 1 , Hiroshi Kawakami 1 , Toshio Kanai 2 , Miwako Mukai 3 1Department of Internal Medicine, National Ohkura Hospital 2Department of Surgery, National Ohkura Hospital 3Department of Pathology, National Ohkura Hospiral pp.303-307
Published Date 1986/3/25
DOI https://doi.org/10.11477/mf.1403110161
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 A 59-year-old woman with frequent complaints of abdominal pain and vomiting, underwent cholecystectomy following a diagnosis of allstone. Even after the operation, her symptoms were not relieved for seven months, and had been treated as postcholecystectomy syndrome.

 She was referred to our hospital with the same complaints. Her plain abdominal x-ray films revealed a little amount of niveau-like appearance in the small intestine. Laboratory findings showed mild anemia and faintly positive blood reaction in the stool. In a double contrast study of the intestine, a tumorous shadow, smooth-surfaced with bridging folds,17mm in size, was found in the mid-portion of the jejunum. On operation, accompanying invagination was found at the distance of 100cm from the Treitz's ligament. Histological specimen of the resected jejunum demonstrated a 3.0×2.0×1.5cm, smooth-surfaced polypoid (Yamada IV type) tumor which was disclosed finally as lipoma. Twenty seven cases of intestinal lipoma were reported during 1980 to 1982 in Japan. The symptoms of small intestinal lipoma showed oftenly intestinal obstruction as compared with bleeding from leiomyoma or hemaogioma. Thus a rare case of lipoma of the jejunum is reported, which was suspected with plain abdominal x-ray films showing subileus due to intussusception, and then diagnosed as such before operation solely with double contrast x-ray study.

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