Diffuse intrabdominal lipomatosis

Case contributed by Prashant Mudgal
Diagnosis certain

Presentation

Bilateral inguino-scrotal hernia past 2 years. Abdominal distension past 6 months

Patient Data

Age: 60 years
Gender: Male
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Info

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

This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
This study is a stack
Axial C+ portal
venous phase
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Info

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.

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

Case Discussion

Intraperitoneal lipomatosis uncommon and is presumably related to mediastinal lipomatosis or retroperitoneal and pelvic lipomatosis

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