Ileocecal Valve Lipoma and Lipomatous Infiltration

 Enlarged ileocecal valve with smooth or lobulated surface contour


image Stellate folds may radiate into center of mass

image Oblique images: Terminal ileum entering ICV


• CT
image IC valve leaflets appear thickened with mixed fat/soft tissue density

• Lipoma: Benign colonic neoplasm composed of mature fat

• Barium enema
image Smooth, sessile submucosal or polypoid filling defect within colon

image Soft consistency (compressible; changes shape)

image Intact, smooth mucosal surface

image If adjacent to or arising from ICV → eccentric mass (not concentric, surrounding valve)

• CT is diagnostic
image Encapsulated, spherical mass of fat within cecum or colon, may be adjacent to ICV

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Nov 16, 2016 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on Ileocecal Valve Lipoma and Lipomatous Infiltration

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