CLINICO-RADIOGRAPHIC STUDY BY COMPUTED TOMOGRAPHY FOR THE EVALUATION OF ILEOCECAL VALVE LIPOMATOSIS

Abstract

Introduction: Deposition of fat in the submucosa of the ileocecal (IC) valve leads to ileocecal valve lipomatosis which is accurately diagnosed with CT scan being specific and sensitive for the same.

Aims: To assess the prevalence of ileocecal valve lipomatosis in routine radiological assessment, to assess gender or age predilection in ileocecal valve lipomatosis development, and to assess the association of idiopathic inflammatory bowel disease or obesity with valve lipomatosis.

Methods: Ct abdomen subjects were included with the exclusion of follow-up and routine subjects making a total sample of 400 subjects. The subjects were evaluated concerning bowel abnormalities, obesity, gender, and/or age.

Results: There were 10.25% (n=4) underweight subjects in the study, 35.89% (n=14) normal weight subjects in the study, 12.82% (n=5) overweight subjects, and 41.02% (n=16) obese subjects in the present study. In underweight subjects of the study there were 2.56% (n=1) male and 7.69% (n=3) females. Among normal weight subjects, there were 23.07% (n=9) males and 12.82% (n=5) females, in overweight subjects, there were 10.25% (n=4) males and 2.56% (n=1) female subjects. Among the obese subjects, there were 17.94% (n=7) males and 23.07% (n=9) females subjects in the present study.

Conclusion: The study concludes that IC valve lipomatosis is an uncommon finding in routine radiological findings even in subjects of age <40 years. No predominance was seen in females and no association between inflammatory bowel disease to IC valve lipomatosis. However, association with obesity was seen in IC valve lipomatosis.