DIFFUSE COLONIC LIPOMATOSIS WITH GIANT HYPERTROPHY OF THE EPIPLOIC APPENDIXES AND DIVERTICULOSIS OF THE COLON - REPORT OF A CASE AND REVIEWOF THE LITERATURE

PURPOSE: A case of diffuse colonic lipomatosis, dolichosigmoid, hypert rophy of the epiploic appendices and diverticulosis of the colon produ cing constipation, recurrent subocclusive episodes with diarrhea and v omiting, and weight loss is reported. METHODS: Careful preoperative as sessment of clinical, radiologic, and endoscopic findings suggested th e diagnosis. Results: A total colectomy, followed by a lateroterminal ileoproctostomy, gave complete relief from symptoms. Conclusions: Of t he 12 cases of colonic lipomatosis previously reported, only 2 have is olated involvement of the entire organ, but they do not present Lipoma tosis of the epiploic appendices.