Case Report

Macrodactylia Fibrolipomatosis Presenting as a Small Bowel Obstruction

Authors: Sonya Kenkare, BS, Bujji Ainapurapu, MD

Abstract

A patient presented with progressive abdominal distention, discomfort, nausea, vomiting, and constipation. The patient also had congenital macrodactyly of the third, fourth, and fifth digits of the left hand. She was diagnosed with macrodactylia fibrolipomatosis with multiple small bowel lipomas and complete small bowel obstruction. Macrodactylia fibrolipomatosis is a rare condition characterized by benign fibrofatty infiltration involving the soft tissues of the distal arm or leg with associated dactylomegaly of the associated digits. This patient had a rare presentation that included extensive small bowel lipomatosis.

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References

1.Mazziotti S, Salamone I, Vinci S, et al. Macrodactylia fibrolipomatosis associated with multiple small-bowel lipomas. AJR Am J Roentgenol 2006;186:1195–1196.
 
2.Gates LK Jr, Keate RF, Smalley JJ Jr, et al. Macrodactylia fibrolipomatosis complicated by multiple small bowel lipomas and intussusception. J Clin Gastroenterol 1996;23:241–242.
 
3.Yaghmai I, McKowne F, Alizadeh A. Macrodactylia fibrolipomatosis. South Med J 1976;69:1565–1568.
 
4.Margolin FR, Lagios MD. Polypoid lipomatosis of the small bowel. Gastrointest Radiol 1980;5:59–60.