A Curious Case of Chronic Bloating

A 74-year-old woman presents with chronic bloating. CT reveals unexpected fat-containing lesions throughout her small bowel. What is the diagnosis?

Intestinal lipomatosis


A 74-year-old woman presented to the gastroenterology clinic with a long history of bloating and abdominal distention. On physical examination, the abdomen was found to be distended but was nontender on palpation, with normal bowel sounds. This image shows findings on computed tomography of the abdomen and pelvis. What is the most likely diagnosis?

What is the most likely diagnosis?

Diffuse mesenteric hydatid cyst disease
Senile ileus
Pneumatosis cystoides intestinalis
Intestinal lipomatosis
Food bolus obstruction

Abdominal Distention, Bloating, Computed Tomography, Intestinal lipomatosis, Lipoma

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