DIFFUSE COLONIC LIPOMATOSIS WITH GIANT HYPERTROPHY OF THE EPIPLOIC APPENDIXES AND DIVERTICULOSIS OF THE COLON - REPORT OF A CASE AND REVIEW OF THE LITERATURE

PURPOSE: A case of diffuse colonic lipomatosis, dolichosigmoid, hypertrophy of the epiploic appendices and diverticulosis of the colon producing constipation, recurrent subocclusive episodes with diarrhea and vomiting, and weight loss is reported. METHODS: Careful preoperative assessment of clinical, radiologic, and endoscopic findings suggested the diagnosis. Results: A total colectomy, followed by a lateroterminal ileoproctostomy, gave complete relief from symptoms. Conclusions: Of the 12 cases of colonic lipomatosis previously reported, only 2 have isolated involvement of the entire organ, but they do not present Lipomatosis of the epiploic appendices.