Diffuse abdominal lipomatosis

Dept. of Endocrinology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India.
The Journal of the Association of Physicians of India 07/2003; 51:621-2.
Source: PubMed


We report a 22-year male who developed progressive distension of abdomen, clinically diagnosed as ascites. A diagnosis of abdominal lipomatosis was made on the basis of CT evidence of excessive fatty tissue in abdominal cavity which was confirmed on laparotomy.


Available from: Nazir A Wani
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    • "Several etiological factors are assumed in the development of lipomatosis such as embryonic displacement of adipose tissue, congenital predisposition, degenerative disease with disturbance of fat metabolism, postchemotherapeutic fat deposition, chronic inflammation such as chronic inflammatory bowel disease, low-grade infection, and hamartomatous syndromes and alcohol [4]. Alcohol consumption is common coexisting factor that causes folate deficiency, macrocytic anemia and promote lipomas through effects on adiposities [1]. "
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    ABSTRACT: Although lipomas are encapsulated benign tumors, systemic lipomatosis defines infiltrative nonencapsulated tumors resembling normal adipose tissue. Abdominal lipomatosis and intestinal lipomatosis are different clinicopathological entities with similar clinical symptoms. We describe here a case presenting with upper gastrointestinal bleeding from eroded submucosal lipoma at duodenum secondary to intestinal lipomatosis and abdominal lipomatosis.
    07/2015; 2015:1-4. DOI:10.1155/2015/123723
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    • "Figure 2: MRI pelvis: lipomatous tissue in the pelvis. distension as a consequence of intraperitoneal and retroperitoneal fat and respiratory distress due to mediastinal airway compression [2]. Pelvic lipomatosis may present with bladder dysfunction, constipation, nonspecific abdominal discomfort, oedema of the lower extremities, and ureteral obstruction leading to hydronephrosis and renal failure [4]. "
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    ABSTRACT: Peritoneal lipomatosis is a rare disease in childhood with only two cases previously described in children. We report a further case of a 12-year-old boy diagnosed with peritoneal lipomatosis. His main symptoms were abdominal pain, alternating bowel habit, abdominal distension, and melaena. His diagnostic work up included an abdominal MRI, wireless capsule endoscopy and single-balloon enteroscopy. Peritoneal lipomatosis although rare can be diagnosed in childhood. It is a benign clinical entity with variable manifestations.
    05/2013; 2013(7):496419. DOI:10.1155/2013/496419
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    • "OJPathology mesenteric or retroperitoneal ones. Lipomatosis is usually asymptomatic nevertheless; many nonspecific symptoms could reveal this pathology [4] [8] [9] [10]. In our patient persistent dyspnea was the principal symptom. "
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    ABSTRACT: Introduction: Corticosteroid-induced lipomatosis are uncommon situation. We report a case of an extensive lipomato-sis in a rheumatoid arthritis patient, who received a long term steroid therapy. Case report: A 49-year-old rheumatoid arthritis woman, who received for two years a mean dose of 15 mg/ day of prednisone equivalent, was admitted to the hospital for a six months history of progressive abdominal distension and dyspnea. Physical exam revealed typical symptoms of Cushing's syndrome and an important increase of abdominal volume. Lipomatosis diagnosis with mesen-teric, mediastinal, retroperitoneal and epidural localizations, was rapidly confirmed by sonography and computed to-mography (CT) exams. Management was based on corticosteroid reduction as well as use of hygiene and dietary meas-ures. Therapeutic efficacy was noted on a clinical basis within one year. Discussion: lipomatosis occurs as a less known complication of long-term steroid therapy. Its localizations are numerous. Epidural and mediastinal lipomatosis are more frequent than mesenteric or retroperitoneal ones. Most frequently asymptomatic, lipomatosis could sometimes be revealed by false symptoms. Medical treatment including corticosteroid with drawal or reduction and calorie re-striction, can lead to clinical improvement. Surgery is reseved in advanced forms with serious complications.
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