Case Report
Copyright ©2010 Baishideng. All rights reserved.
World J Gastroenterol. May 7, 2010; 16(17): 2190-2192
Published online May 7, 2010. doi: 10.3748/wjg.v16.i17.2190
Partial intestinal obstruction secondary to multiple lipomas within jejunal duplication cyst: A case report
Xin-Yue Wan, Tao Deng, He-Sheng Luo
Xin-Yue Wan, Tao Deng, He-Sheng Luo, Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China
Author contributions: Deng T performed the double-balloon endoscopy; Wan XY wrote the paper; Luo HS revised the paper.
Correspondence to: Tao Deng, MD, Department of Gastroenterology, Renmin Hospital of Wuhan University, No. 99 Ziyang Road, Wuhan 430060, Hubei Province, China. wanxy8366@hotmail.com
Telephone: +86-27-88041911 Fax: +86-27-88042292
Received: December 29, 2009
Revised: January 24, 2010
Accepted: January 31, 2010
Published online: May 7, 2010
Abstract

Lipoma within jejunal duplication presenting as abdominal bloating and partial intestinal obstruction is an exceptional clinical entity. We report a case of 68-year-old man complaining of abdominal bloating for 10 d due to multiple lipomas arising from jejunal duplication cysts. Only a few cases of a single lipoma within a Meckel’s diverticulum giving rise to this clinical scenario have been reported in the English language literature. However, no case of multiple lipomas within jejunal duplication cysts has been reported. We present a case in which double-balloon endoscopy revealed a small intestinal structure changed into Meckel’s diverticulum-like cavities containing several lipomas. This case highlights intestinal lipoma as an uncommon cause of adult intussusceptions, which should be included in the differential diagnosis of small intestinal obstruction and appropriate examinations should be chosen.

Keywords: Duplication cyst; Lipoma; Double-balloon endoscopy; Jejunum; Intestinal obstruction