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Case of the Week 533


What is the most likely diagnosis?

  • 51 year-old with intermittent RLQ pain



Axial CT Image of Pelvis with Region of Interest

  1. Lymphoma
  2. AVM
  3. Neurofibroma
  4. Small Bowel Lipoma
  5. Fibrovascular Polyp

Additional Image-None

 

Additional Images


None


Answer:

 

4. Small Bowel Lipoma

 

More (Click Discussion Tab)

 

 

Small Bowel Lipoma

General Considerations

  • Small bowel tumors are relatively rare, accounting for only 2% of all GI malignancies
  • Most lipomas of the GI tract occur in the colon, the small bowel being the 2nd most common site and accounting for about 25%
  • Usually solitary but may be multiple
  • Most small bowel lipomas are found in the ileum
  • Most often submucosal and may be pedunculated

    MORE . . .

     


    .

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    is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.