Pedunculated lipomas arising from the peritoneal wall are a rare finding during abdominal surgery. These benign tumours of mesenchymal origin can arise anywhere in the body and are usually asymptomatic. We present a case of a torted, pedunculated parietal wall lipoma in the right iliac fossa that gave rise to a clinical diagnosis of appendicitis. To our knowledge, such a case has never been reported in the literature previously. We suggest that torsion of a pedunculated parietal lipoma is a rare differential of acute abdominal pain.
HighlightsIntestinal malrotation refers to aberrations in embryological midgut development.Patients who persist beyond infancy tend to report chronic nonspecific symptoms.Midgut volvulus is the acute presentation of intestinal malrotation.Diagnosis is made by contrast enhanced cross-sectional imaging.Surgical management is via the Ladd’s Procedure; laparoscopic or laparotomy.
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