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September 1977

Multiple Lipomas of the Ileum With Volvulus

Author Affiliations

From the Departments of Surgery, Osaka (Japan) Policeman's Hospital (Drs Ueda, Kitagawa, and Oka) and the Osaka University Medical School (Dr Nakao).

Arch Surg. 1977;112(9):1144-1145. doi:10.1001/archsurg.1977.01370090126027

• We describe a patient with symptomatic multiple lipomas with volvulus. He complained of gradually increased abdominal pain and distention. Preoperative roentgenograms showed many rounded filling defects of the small intestine. Operation was performed to reduce intestinal obstruction and ileal resection was performed. The dilated ileum was rotated 720° clockwise and it contained 115 submucosal and 26 subserosal lipomas. Histologically, the lipomas were benign and consisted of well-developed fat tissue. The patient's postoperative course was satisfactory, and neither residual lipoma nor recurrence were found at barium enema examination two years after operation.

(Arch Surg 112:1144-1145, 1977