Paediatric Mesenteric Lipoma, An Unusual Cause of Repeated Abdominal Pain

Abstract

Fatty masses, especially solid lipomas, in the paediatric abdomen are very rare. We present such a case, that of an 11-year-old boy who was admitted with abdominal pain and distension. The pre-operative diagnosis of lipoma was suggested by US and CT. The diagnosis of simple lipoma arising in the leaves of the small bowel mesentery, without immature cells, was verified microscopically after the operation. The tumour was enucleated from the mesenterium leaving the intestine intact. We underline the importance of US and CT as pre-operative diagnostic tools.

Giant Mesenteric Lipoma as a Rare Cause of Ileus in a Child: Report of a Case

“…1,2,4,6 Very occasionally they may cause intermittent abdominal pain, distension, small bowel volvulus, and constipation. [3][4][5] The mesenteric lipoma in our patient caused intermittent abdominal pain at first, then as it grew, epigastric distension and ileus occurred with compression of the intestinal loops. The main sequelae of mesenteric lipoma are intestinal obstruction caused by intestinal volvulus and partial obstruction due to compression.…”

“…1,2 Deep lipomas can be localized in the thorax, mediastinum, thoracic wall, pleura, pelvis, retroperitoneum, and paratesticular area, but they rarely originate in the intestinal mesentery in children. 1,[3][4][5] There have been sporadic reports of mesenteric lipomas causing intermittent abdominal pain, distension, and intestinal volvulus. [3][4][5] Herein, we report a case of a giant mesenteric lipoma in a 7-year-old girl presenting with intestinal obstruction.…”

A Rare Cause of Childhood Ileus: Giant Mesenteric Lipoma and a Review of the Literature

“…However, a few can cause symptoms consistent with a partial bowel obstruction, such as intermittent abdominal pain, abdominal distention, and vomiting, with very few resulting in intestinal volvulus or complete intestinal obstruction due to torsion [4,7,8]. These are usually reported as sporadic cases in the literature [2,4,5]. To date, less than 50 cases of mesenteric lipoma have been reported in the Englishlanguage literature, with nearly half of them occurring in children [6].…”

“…Deep-seated lipomas can originate from the thorax, chest wall, mediastinum, pleura, pelvis, retroperitoneum, paratesticular area and, very rarely, the bowel mesentery [1][2][3][4]. As long as the bowel allows passage, mesenteric lipomas often do not cause gastrointestinal symptoms [5,6].…”

Torsion of a preperitoneal pedunculated lipoma of anterior abdominal wall mimicking acute appendicitis

“…Soliter veya multiple olabilen lipomlar vücudun çeşit-li bölgelerinde, nadiren de karın içinde bulunabilmektedirler. [1][2][3][4] Gastrointestinal sistemde lipomlar submukoza veya subserozal bölgede yerleşerek intusepsiyona yol açabilirler. Preperitoneal bölge saplı lipomu ise çok nadir görülmekte olup, literatürde torsiyon nedeniyle akut karın bulgusu oluşturan sadece dört vaka bildirilmiştir.…”