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LIPOMATOSIS OF THE ILEOCECAL VALVE

ROBERT N. BERK M.D., GARY B. DAVIS M.D., and ERWIN B. CHOLHASSEY M.D.

Two patients with lipomatous infiltration of the ileocecal valve are reported.

Surgery was undertaken in Case I when tumor was suspected because the valve was nodular in shape in certain projections of the barium enema examination. The fact that no tumor was found indicates that the nodularity of the valve is not a reliable sign of carcinoma. Greater importance should be given to whether the surface of the valve is smooth on irregular.

Case II had Crohn's ileo-colitis and grape-like masses attached to the ileocecal valve due to lipomatous infiltration of the valve. No similar case has been reported either with lipomatosis of the valve or associated with Crohn's ileo-colitis. The relationship, if any, between the ileo-colitis and the lipomatosis of the valve is obscure.


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