Presentation
Abdominal pain.
Patient Data
Age: 70 years
Gender: Female
From the case:
Lipomatosis of the ileocecal valve
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Ileocecal valve margins are markedly thickened and infiltrated with fat, suggesting lipomatosis of the ileocecal valve.
There is a definable, hypodense (with fluid density) lesion of about 2.3 x 2.9 cm in the vicinity of the cecal base (which is non-separable from its wall without definite communication to the lumen), which could be a duplication cyst. No surrounding stranding is seen. No dilatation or stricture lesion of the small or large bowel is appreciated.
Case Discussion
These CT findings may represent lipomatosis of the ileocecal valve, although no discrete diagnostic criteria exists. A hypodense lesion in the vicinity of the base of the cecum with a most likely differential of a duplication cyst.