Pseudolipomatosis of the colon and cecum followed by pneumatosis intestinalis

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Abstract

A 74-year-old Japanese woman was diagnosed with pseudolipomatosis of the cecum and ascending colon. Colonoscopy was performed, which revealed the presence of slightly elevated white lesions, while a magnifying observation showed microbubbles within the mucosa. A month after colonoscopy, the patient was diagnosed with pneumatosis intestinalis. Although the exact pathogenesis is unclear, pneumatosis intestinalis may arise secondary to pseudolipomatosis. This case also indicates that a magnifying observation during colonoscopy may aid in the diagnosis of pseudolipomatosis of the large intestine, since it shows microbubbles within the mucosa, which may be a distinctive feature reflecting the pathology of this disease.

Original languageEnglish
Pages (from-to)2501-2504
Number of pages4
JournalInternal Medicine
Volume57
Issue number17
DOIs
Publication statusPublished - Jan 1 2018

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Keywords

  • Colonoscopy
  • Giant cell arteritis
  • Pneumatosis intestinalis
  • Pseudolipomatosis

ASJC Scopus subject areas

  • Internal Medicine

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