Diffuse intrabdominal lipomatosis

Case contributed by Dr Prashant Mudgal

Presentation

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

Patient Data

Age: 60 years
Gender: Male
X-ray

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

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

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

PlayAdd to Share

Case information

rID: 24994
Published: 8th Oct 2020
Last edited: 8th Oct 2020
Tag: pm
Inclusion in quiz mode: Included