Ileo-colic lipomatosis complicated by cecum perforation and mimicking acute appendicitis: a case report.

Ileo-colic lipomatosis complicated by cecum perforation and mimicking acute appendicitis: a case report.

Authors

  • Nicola Cillara S.O.C. Chirurgia Generale, P.O. Santissima Trinità, Cagliari, Italy.
  • Giovanni Pileri S.O.C. Chirurgia Generale, P.O. Santissima Trinità, Cagliari, Italy.
  • Gabriella Mancosu S.O.C. Anatomia Patologica, P.O. Santissima Trinità, Cagliari, Italy
  • Paola Lorrai S.O.C. Radiologia, P.O. Santissima Trinità, Cagliari, Italy
  • Maria Tocco S.O.C. Radiologia, P.O. Santissima Trinità, Cagliari, Italy
  • Michela Piga S.O.C. Anatomia Patologica, P.O. Santissima Trinità, Cagliari, Italy
  • Raffaele Sechi S.O.C. Chirurgia Generale, P.O. Santissima Trinità, Cagliari, Italy.

Keywords:

Colon lipomatosis, Cecum perforation, Covid, Peritonitis

Abstract

Lipomatosis of the colon is rare in clinical practice although the majority of cases are found incidentally. In rare circumstances, patients may presents with acute complications such as bowel obstruction, intussusception, or perforation. Here we report a case of colonic lipomatosis that present as localized peritonitis mimicking acute appendicitis in a young COVID patient. Sixth case in the literature of intestinal perforation peritonitis in intestinal lipomatosis.

References

Suárez Moreno RM, Hernández Ramírez DA, Madrazo Navarro M, Salazar Lozano CR, Martínez Gen R. Multiple intestinal lipomatosis. Case report. Cir Cir 2010; 78: 163-165.

Taylor BA, Wolff BG. Colonic lipomas. Report of two unusual cases and review of the Mayo Clinic experience, 1976-1985. Dis Colon Rectum 1987; 30: 888-94.

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

Ryan J, Martin JE, Pollock DJ. Fatty tumours of the large intestine: a clinicopathological review of 13 cases. Br JSury 1989.

Castro B, Stearns MW. Lipoma of the large intestine: a review of 45 cases. Dis Colon Rectum 1972; 15: 44-4.

Mayo CW, Pagtalunan RJG, Brown DJ. Lipoma of the alimentary tract. Surgery 1963; 53: 598-603.

Di Saverio S, Birindelli A, Podda M, Segalini E, Piccinini A, Coniglio C, Frattini C, Tugnoli G. Trauma laparoscopy and the six w's: Why, where, who, when, what, and how? J Trauma Acute Care Surg. 2019 Feb;86(2):344-367.

Di Saverio S, Khan M, Pata F, Ietto G, De Simone B, Zani E, Carcano G. Laparoscopy at all costs? Not now during COVID-19 outbreak and not for acute care surgery and emergency colorectal surgery: A practical algorithm from a hub tertiary teaching hospital in Northern Lombardy, Italy. J Trauma Acute Care Surg. 2020 Jun;88(6):715-718.

Dajti G, Vagliasindi A, Bosi S, Guerra E, Zanzi F, Raulli GD. An unusual clinical presentation of colonic lipomatosis: A case report. Int J Surg Case Rep. 2020;75:273-275.

K. Vasiliadis, M. Katsamakas, A. Nikolaidou, Submucosal lipoma of theascending colon as a source of massive lower gastrointestinal bleeding: a casereport, Acta Chir. Belg. 108 (2008) 356–359.

Kumar K, Noori MR, Patel KM, Yuen W, Bello C. Rare diagnosis of intestinal lipomatosis complicated by intussusception in an adult: A case report. Int J Surg Case Rep. 2017;39:339-342.

Sandhu PS, Bansiwal RK, Attri AK, Mittal R. Diffuse colonic lipomatosis, presenting as perforation peritonitis and mimicking carcinoma colon. Indian J Surg. 2011 Apr;73(2):155-7.

Danoff DM, Nisenbaum HL, Stewart WB, Moore RC, Clahassey EB. Segmental polypoid lipomatosis of the colon. AJR Am J Roentgenol. 1977 May;128(5):858-60.

Bates AW, Smith VV (2001) Symptomatic diffuse colonic lipomatosis in Proteus syndrome. Histopathology 39:103.

Yakabe S, Muranaka T, Sumii T, Takeshita M, Yamashita T, Tsuruta S, Saku M, Yoshida K (1998) Jejunal lipomatosis with diverticulosis: report of a case. Jpn J Surg 28:846–849.

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Published

29-06-2022

How to Cite

1.
Cillara N, Pileri G, Mancosu G, Lorrai P, Tocco M, Piga M, et al. Ileo-colic lipomatosis complicated by cecum perforation and mimicking acute appendicitis: a case report. Acta Biomed [Internet]. 2022 Jun. 29 [cited 2024 Jul. 13];93(S1):e2022208. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/12768