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Case Reports in Pathology
Volume 2015 (2015), Article ID 231830, 4 pages
http://dx.doi.org/10.1155/2015/231830
Case Report

Small Bowel Obstruction due to Intestinal Xanthomatosis

1Pathology and Clinical Laboratory Department, Fundación Santa Fe de Bogotá University Hospital, Calle 119, No. 7–75, Bogotá 110111, Colombia
2Surgery Department, Fundación Santa Fe de Bogotá University Hospital, Calle 119, No. 7–75, Bogotá 110111, Colombia
3School of Medicine, Universidad de los Andes, Carrera 1, No. 18A-12, Bogotá 111711, Colombia

Received 14 April 2015; Accepted 31 May 2015

Academic Editor: Uma N. Sundram

Copyright © 2015 L. E. Barrera-Herrera et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Vast majority of bowel obstruction is due to postoperative adhesions, malignancy, intestinal inflammatory disease, and hernias; however, knowledge of other uncommon causes is critical to establish a prompt treatment and decrease mortality. Xanthomatosis is produced by accumulation of cholesterol-rich foamy macrophages. Intestinal xanthomatosis is an uncommon nonneoplastic lesion that may cause small bowel obstruction and several cases have been reported in the English literature as obstruction in the jejunum. We report a case of small intestinal xanthomatosis occurring in a 51-year-old female who presented with one day of copious vomiting and intermittent abdominal pain. Radiologic images revealed jejunal loop thickening and inflammatory changes suggestive of foreign body obstruction, diagnostic laparoscopy found two strictures at the jejunum, and a pathologic examination confirmed a segmental small bowel xanthomatosis. This case illustrates that obstruction even without predisposing factors such as hyperlipidemia or lymphoproliferative disorders.