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[Pelvic lipomatosis. A case with ureteral and venous obstruction].

The authors report a case of pelvic lipomatosis in a 62 year old man associated with venous obstruction (third case reported in the literature), diagnosed after bilateral ureteric obstruction, and review of the literature on this subject. The diagnosis was suggested by the radiological triad of hyperlucency of the pelvis on plain abdominal X-ray, "hot air balloon" appearance of the bladder on IVU and a rigid and ascended rectosigmoid on barium enema, and was confirmed by CT and MRI. Treatment combining corticosteroids and urinary tract disinfection was partially effective. A double J ureteric stent resolved the problem of persistent right ureteric obstruction.

Cystoscopy↗

[Benign symmetric Launois-Bensaude type III lipomatosis and Bureau-Barrière syndrome].

We report on a patient with an unusual distribution of benign symmetric Launois-Bensaude lipomatosis. In addition, the patient presented with Bureau-Barrière syndrome. With regard to our own observations and those reported in the literature, we propose a new classification of the disease referred to the distribution of the fatty tissue.

Amputation, Surgical↗

[Cardiac lipoma in a patient with diffuse subcutaneous lipomatosis. Nuclear magnetic resonance diagnosis].

We describe a case of left ventricular intramyocardial lipoma in a patient with diffuse subcutaneous lipomatosis. The diagnosis was suspected on the basis of a two-dimensional echocardiographic examination that revealed a hyperechogenic mass within the left ventricular wall. Magnetic resonance imaging showed a homogeneous high signal mass thus indicating the presence of a benign lipoma. This report shows the ability of two-dimensional echocardiography and magnetic resonances imaging in detecting, localizing and characterizing left ventricular lipomas without the use of more invasive studies.

Echocardiography↗

[Surgical reduction in benign symmetrical lipomatosis].

We report on a 50-year-old female patient suffering from benign symmetric lipomatosis of her upper arms, shoulders, neck, back, abdomen, and thighs. Concomitantly, we found hypertension, hyperuricemia, and hypertriglyceridemia. Since the patient complained of occasional pain in her upper arms and shoulders induced by work or pressure and suffered psychically from her deformity, we decided to reduce the fatty tissue of the upper arms surgically--with good cosmetic and functional results.

Arm↗

A rare case of iliac vein obstruction: pelvic lipomatosis.

The case history is presented of a patient with recurrent deep venous thrombosis and subsequent iliac vein obstruction as a result of pelvic lipomatosis. The incidence and the variety of clinical symptoms in relation to this rather unknown pathological condition are described.

Humans↗

[Multiple symmetrical lipomatosis and chronic alcoholism].

Multiple symmetric lipomatosis (MSL) is characterised by nonencapsulated localised lipomatous accumules (type I) or diffused (type II). There is a high incidence in Mediterranean males with high alcohol intake. The biochemical blood alterations described are similar to those related to alcoholism or chronic hepatopathy. The disease can be associated with demyelinating peripheric or autonomic neuropathy and in MSL type I with mediastinal findings of 5 patients suffering from MSL type I, comparing them with the cases in the literature and insisting on the participation of alcoholism (early onset, important amount, and long-term habit) in the etiology of MSL and its contribution to the developing of neuropathy and abnormalities of lipidic metabolism.

Aged↗

[Pelvic lipomatosis: a new case].

We present a fresh case of Pelvic Lipomatosis in a non obese young male. We comment on the suggestive radiological findings as well as on the therapeutic options. Although considered traditionally as a benign entity, it may cause serious physiopathological alterations in neighbouring organs.

Adult↗

Encephalocraniocutaneous lipomatosis. Report of two cases and a review of the literature.

We describe 2 patients with unilateral facial and cerebral malformations consistent with encephalocraniocutaneous lipomatosis. The characteristic facial appearance seems to develop with age, possibly as a consequence of increased intracranial pressure. However, the clinical data suggest that this condition arises as a result of a disruption of cephalic neural crest and anterior neural tube.

Adolescent↗

[Accumulated occurrence of lipomatosis in a cattle herd in Assiut (Egypt)].

A total number of 30 native breed cows were used in this investigation. Ten animals were clinically healthy and kept as control, while 20 diseased cows were selected according to rectal findings. At the beginning of the disease, the cows appeared obese with marked deposition of fat in the subcutaneous tissue at the lumbosacral area, later on they became emaciated. Additional signs were digestive disturbance in form of diarrhea or constipation and tympany. Rectal examination revealed hard irregular masses of various size which were palpated in the pelvis, the perirenal area around the colon and the rectum. More information about the nature and character of the lesions were taken from slaughtered cows. Biochemical analysis, including total lipids, cholesterol triglycerides and creatine kinase, were carried out in both healthy and diseased cows. In advanced cases of bovine lipomatosis hyperlipemia and hypercholesterolemia as well as increased creatine kinase values were constant findings. The aetiology of this disease is still unknown.

Animals↗

[Tracheobronchial lipomatosis. Apropos of a case].

A case of tracheo-bronchial lipomatosis is reported. Bronchial lipomas are benign fatty tumours which frequently result in bronchial superinfection or dyspnoea. The radiological image is often one of atelectasis, and the diagnosis is made at endoscopy. Treatment, rendered necessary by destruction of the underlying lung, is either endoscopic or surgical. Multiple localizations are exceptional and raise special therapeutic problems.

Bronchial Neoplasms↗

[Benign symmetric lipomatosis: a symptom of alcoholic liver disease?].

Benign symmetric lipomatosis (BSL) leads to characteristic multiple lipomas of the neck and submandibular region. BSL is easily diagnosed by its typical feature, "Madelung's neck". However, the early stages are often missed or lead to futile diagnostic endeavours. A report is presented on 7 men with BSL aged 36--65 years who were investigated with regard to alcohol consumption, clinical findings and liver histology. This is the first time that liver histology has been systematically worked up in patients with BSL. All admitted long standing ethanol intake (x = 111 ml/day) prior to the development of BSL. The growth of the lipomas was irregular and occurred over a period of months. There was no correlation with overweight or hyperlipidemia. However, liver biopsy revealed features consistent with alcoholic liver disease in all subjects. It is suggested that BSL is a symptom of alcoholic liver disease mainly affecting middle-aged men.

Adult↗

Lipomatosis of the ileocecal valve causing recurrent small bowel obstruction.

A case of lipomatosis of the ileocecal valve causing recurrent intestinal obstruction is described. Barium enema with air contrast provides an important diagnostic tool. If confirmed intraoperatively and by histopathologic examination on frozen section, limited resection of the ileum and cecum is advocated rather than blind right hemicolectomy.

Female↗

[Compressive extradural lipomatosis as an unusual complication of corticosteroid therapy: one case (author's transl)].

In a 43 year old man we reported a spinal cord compression by extradural lipomatosis associated with long term corticosteroid therapy for periarteritis nodosa. Decompressive surgery at the 16th month of corticosteroid treatment resulted in regression of symptoms and signs. Corticosteroid therapy was felt to be responsible for this neurological complication, which is unknown in periarteritis nodosa, but has been seen in association with intraspinal lipomas.

Adult↗

[Lipomatosis of the ileocecal valve (author's transl)].

A case is described with histologic demonstration. The ethiopathogenetic and clinical aspects of the disease are discussed. The differential diagnosis between lipoma and lipomatosis is stressed. Laparotomy may sometimes be necessary for a correct diagnosis. The basic elements for the treatment are presented.

Adult↗

[Lipomatosis of the ileocecal valve (author's transl)].

The fatty tissue of the ileocecal valve was examined in 100 autopsies. Diffuse submucosal fatty tissue was found in a different amount among children, juveniles and adults in 93% of the cases. There was no correlation between the amount of the fatty tissue and obesity or intraabdominal adhesions. As fat deposit in the ileocecal valve already can be seen in the first years of life and as it is not depleted in malnutrition it should be considered as normal and an important factor for the structure and the function of the valve. Therefore the term lipomatosis, which refers to a pathological excess of fatty tissue, no longer should be used in connection with submucosal fat in the ileocecal valve.

Adipose Tissue↗

[Radiological diagnosis of tumoral lipomatosis of the renal sinus. The role of arteriography (author's transl)].

In twenty cases of pseudo-tumoral sinusal lipomatosis for which the patients had undergone renal arteriography, the authors investigated the urographical and arteriographical clinical signs by comparing them with the previously published data. After reviewing these various elements and considering the various possible diagnoses, they came to the conclusion that, although the arteriographic signs are quite distinctive, they are not absolutely essential for diagnosis of this disorder--which it should be possible to confirm unreservedly from the urographical data in all cases in which there are considerable anatomical lesions. A well-managed urographical technique and careful assessment of the facts should allow arteriography to be discarded, indications for this only being justified where there is an associated symptomatology, especially haematuria.

Adult↗

Peridural lipomatosis.

Fifteen cases of peridural lipomatosis are presented. All patients were treated surgically in the years 1965 to 1974 and reexamined in 1975. In 5 cases of condition improved, in 4 cases it was unchanged and in 6 patients it deteriorated. It is emphasized that the question of surgical therapy must be decided individually.

Child↗