Small bowel volvulus caused by a lipoma of the mesentery showing a distinct pattern on preoperative computed tomography

Takagi, Yukihiro; Yasuda, Kouji; Nakada, Takumi; Abe, Tatsuhiko; Saji, Shigetoyo

doi:10.1007/bf02236913

Cited by 14 publications

(11 citation statements)

References 2 publications

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“…In the literature review, mesenteric lipomas do not cause any intestinal symptoms in most cases as they usually allow the passage of intestinal contents (1, 5), and those causing abdominal pain make up only a small percentage (2, 6). Mesenteric lipomas may cause abdominal pain by complete intestinal obstruction as a result of torsion or volvulus (3, 7-9) or partial intestinal obstruction associated with compression of the intestine.…”

Section: Introductionmentioning

confidence: 99%

Giant Mesenteric Lipoma As an Unusual Cause of Abdominal Pain: A Case Report and a Review of the Literature

et al. 2009

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We report a rare case of giant mesenteric lipoma presenting with colicky abdominal pain. A 29-yr-old woman underwent laparoscopic resection for a giant mesenteric lipoma causing compression of the ileal loop. The resected ileal segment was encased by a giant fatty tissue, and normal mucosal fold patterns of the resected ileum were effaced by the mass. Microscopically, the mass was characterized by homogenous mature adipose tissue without cellular atypia, which was compatible with the diagnosis of a mesenteric lipoma. Despite the benign nature of this tumor, total excision with or without the affected intestinal loop should be considered if intestinal symptoms such as abdominal pain are present.

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Section: Introductionmentioning

confidence: 99%

Giant Mesenteric Lipoma As an Unusual Cause of Abdominal Pain: A Case Report and a Review of the Literature

et al. 2009

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“…Lipomas are usually slow-growing, non-lobulated, soft and mobile masses that do not penetrate into surrounding organs [4]. The clinical picture of mesenteric lipomas usually presents as a partial obstruction due to compression or, rarely, a complete obstruction caused by intestinal volvulus [7][8][9]. The most common intestinal symptoms in these cases are anorexia, abdominal distention, weight loss, constipation, and a feeling of fullness that increases after meals.…”

Section: Discussionmentioning

confidence: 99%

“…As long as the bowel allows passage, mesenteric lipomas often do not cause gastrointestinal symptoms [5,6]. 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].…”

Section: Introductionmentioning

confidence: 99%

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

Türk

Edirne

Karaca

et al. 2013

EAJM

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Mesenteric lipomas are benign tumors of mature fat cells. They are usually asymptomatic and create a clinical picture that depends on the localization and size of the lipoma. Although rare, unusually large mesenteric giant lipomas can cause partial or complete bowel obstruction. Lipomas resulting in partial bowel obstruction can present with symptoms such as intermittent abdominal pain and abdominal distention. With complete obstruction, a child can present with an acute abdomen. Treatment is the excision of the mass along with the affected portion of bowel. In this case study, a 2-year-old female presented with a bowel obstruction due to the presence of a giant mesenteric lipoma. Clinical features of 16 cases published in the English literature to date are presented.

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“…However, both computed tomography (CT) and/or magnetic resonance imaging are considered to be more useful in making an accurate diagnosis, especially with CT depicting loops of small bowel forming a whirl-like pattern. 11,12 A CT scan of the patient's abdomen had not been performed, which would have been the next preferred form of investigation. CT has been suggested to identify the possible causes of small bowel obstruction in the acute phase.…”

Section: Case Reportmentioning

confidence: 99%

A Small Bowel Volvulus Caused by a Mesenteric Lipoma: Report of a Case

2003

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A 31-year-old man underwent a laparotomy for acute intestinal obstruction symptoms, which he had intermittently experienced for 14 years. The cause of the obstruction was due to a volvulus of the small bowel caused by a mesenteric lipoma. This is a rare finding, which is ideally diagnosed by computed tomography, with surgery the best and most highly recommended treatment. This particular presentation, to the best of our knowledge, has not yet been previously reported in the English language.

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Small bowel volvulus caused by a lipoma of the mesentery showing a distinct pattern on preoperative computed tomography

Cited by 14 publications

References 2 publications

Giant Mesenteric Lipoma As an Unusual Cause of Abdominal Pain: A Case Report and a Review of the Literature

Giant Mesenteric Lipoma As an Unusual Cause of Abdominal Pain: A Case Report and a Review of the Literature

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

A Small Bowel Volvulus Caused by a Mesenteric Lipoma: Report of a Case

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