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Diffuse intrabdominal lipomatosis

Case contributed by: Dr Prashant Mudgal

Presentation:

Bilateral inguino-scrotal hernia since 2 years. Abdominal distention since 6 months

Patient Data:

Age: 60
Gender: Male
Race: Indian/Pakistani
Modality: X-ray

The bowel loops are arranged peripherally no central gas shadow is seen. 

Modality: CT

On CT the bowel loops are seen peripherally (superiorly and laterally) in the abdominal cavity.

Large lobulated area of average Hu -104(fat) is seen filling the abdominal and pelvic cavity, displacing the abdominal organs.

Bilateral inguino-scrotal hernias are noted.

Modality: Ultrasound

Abdominal and cavity is filled with echogenic and septated amorphous mass which is displacing the abdominal organs.

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