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Intestinal lipoma - small bowel

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Intermittent abdominal pain.

Patient Data

Age: 70 years
Gender: Male

CT abdomen & pelvis

ct

Selected coronal images through the abdomen demonstrate a 1.5cm well circumscribed intraluminal fat density lesion within the small bowel. There is no evidence of surrounding stranding or intussusception. 

Annotated image

Annotated image

Small bowel lipoma (orange arrow) without evidence of obstruction or intussusception. Fat in the normal ileocecal valve (blue arrows). 

Case Discussion

Intermittent abdominal pain is a diagnostic challenge, often made harder by incidental findings such as a small lipoma. 

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