Idiopathic Esophageal Lipomatosis: An Incidental Benign Discovery
Gastrointestinal (GI) lipomatosis has been reported in the GI medicine literature, but esophageal lipomatosis has never been reported at all. We report the case of an 86-year-old man with multiple medical comorbidities who was admitted to our hospital for community-acquired pneumonia. Computed tomog...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2021-09-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/519197 |
| _version_ | 1818838557939204096 |
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| author | Venkata Vinod Kumar Matli Deepthi Devagudi Brian Cooney Uma Murthy |
| author_facet | Venkata Vinod Kumar Matli Deepthi Devagudi Brian Cooney Uma Murthy |
| author_sort | Venkata Vinod Kumar Matli |
| collection | DOAJ |
| description | Gastrointestinal (GI) lipomatosis has been reported in the GI medicine literature, but esophageal lipomatosis has never been reported at all. We report the case of an 86-year-old man with multiple medical comorbidities who was admitted to our hospital for community-acquired pneumonia. Computed tomography angiography of his pulmonary arteries ruled out the possibility of pulmonary embolism but showed a 9-mm circumferential wall thickening in the proximal esophagus measuring −172 HU, which is similar in opacity to the adipose tissue. The patient was asymptomatic and without any current or prior symptoms of dysphagia or odynophagia. The barium esophagogram was unremarkable; there were no strictures, masses, or mucosal abnormalities. There was no evidence of esophageal dilatation on either imaging modality. Esophageal lipomatosis is only described in a few case reports in the radiological literature and, to our knowledge, has not been reported in the GI literature at all. It is important to highlight in the GI literature this as a benign entity that does not cause symptoms and typically does not warrant invasive diagnostic or therapeutic interventions. |
| first_indexed | 2024-12-19T03:40:18Z |
| format | Article |
| id | doaj.art-0ab724be98184b3587bfde6eba142516 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-19T03:40:18Z |
| publishDate | 2021-09-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-0ab724be98184b3587bfde6eba1425162022-12-21T20:37:14ZengKarger PublishersCase Reports in Gastroenterology1662-06312021-09-0115385686010.1159/000519197519197Idiopathic Esophageal Lipomatosis: An Incidental Benign DiscoveryVenkata Vinod Kumar Matli0Deepthi Devagudi1Brian Cooney2Uma Murthy3Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY, USADepartment of Internal Medicine, West Anaheim Medical Center, Anaheim, CA, USADepartment of Radiology, Syracuse Veteran Affairs Medical Center, Syracuse, NY, USADepartment of Gastroenterology, Syracuse Veteran Affairs Medical Center, Syracuse, NY, USAGastrointestinal (GI) lipomatosis has been reported in the GI medicine literature, but esophageal lipomatosis has never been reported at all. We report the case of an 86-year-old man with multiple medical comorbidities who was admitted to our hospital for community-acquired pneumonia. Computed tomography angiography of his pulmonary arteries ruled out the possibility of pulmonary embolism but showed a 9-mm circumferential wall thickening in the proximal esophagus measuring −172 HU, which is similar in opacity to the adipose tissue. The patient was asymptomatic and without any current or prior symptoms of dysphagia or odynophagia. The barium esophagogram was unremarkable; there were no strictures, masses, or mucosal abnormalities. There was no evidence of esophageal dilatation on either imaging modality. Esophageal lipomatosis is only described in a few case reports in the radiological literature and, to our knowledge, has not been reported in the GI literature at all. It is important to highlight in the GI literature this as a benign entity that does not cause symptoms and typically does not warrant invasive diagnostic or therapeutic interventions.https://www.karger.com/Article/FullText/519197esophageal adiposiscomputed tomographyincidental findingsesophageal lipomagastrointestinal lipoma |
| spellingShingle | Venkata Vinod Kumar Matli Deepthi Devagudi Brian Cooney Uma Murthy Idiopathic Esophageal Lipomatosis: An Incidental Benign Discovery Case Reports in Gastroenterology esophageal adiposis computed tomography incidental findings esophageal lipoma gastrointestinal lipoma |
| title | Idiopathic Esophageal Lipomatosis: An Incidental Benign Discovery |
| title_full | Idiopathic Esophageal Lipomatosis: An Incidental Benign Discovery |
| title_fullStr | Idiopathic Esophageal Lipomatosis: An Incidental Benign Discovery |
| title_full_unstemmed | Idiopathic Esophageal Lipomatosis: An Incidental Benign Discovery |
| title_short | Idiopathic Esophageal Lipomatosis: An Incidental Benign Discovery |
| title_sort | idiopathic esophageal lipomatosis an incidental benign discovery |
| topic | esophageal adiposis computed tomography incidental findings esophageal lipoma gastrointestinal lipoma |
| url | https://www.karger.com/Article/FullText/519197 |
| work_keys_str_mv | AT venkatavinodkumarmatli idiopathicesophageallipomatosisanincidentalbenigndiscovery AT deepthidevagudi idiopathicesophageallipomatosisanincidentalbenigndiscovery AT briancooney idiopathicesophageallipomatosisanincidentalbenigndiscovery AT umamurthy idiopathicesophageallipomatosisanincidentalbenigndiscovery |