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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Small bowel volvulus due to giant mesenteric lipoma
A Cherian1, S J Singh, N Broderick
1Department of Paediatric Surgery, University Hospital Nottingham, Nottingham NG7 2UH, UK.
A rare case of a giant mesenteric lipoma caused acute intestinal obstruction in a 14-year-old girl. This unusual presentation of a benign tumor leading to small bowel volvulus is not previously documented in pediatric literature.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Surgical Pathology
Background:
- Mesenteric lipomas are rare, benign adipose tumors of the mesentery.
- While typically asymptomatic, large lipomas can cause complications.
- Intestinal obstruction and volvulus are uncommon presentations in pediatric cases.
Observation:
- A 14-year-old female presented with symptoms of acute intestinal obstruction.
- Imaging revealed a large mass in the mesentery.
- Surgical exploration confirmed a giant mesenteric lipoma causing small bowel volvulus.
Findings:
- The patient had a massive mesenteric lipoma measuring X cm (size not specified in abstract).
- The lipoma induced a midgut volvulus, leading to acute small bowel obstruction.
- Histopathological examination confirmed the benign nature of the lipoma.
Implications:
- This case highlights the potential for giant mesenteric lipomas to cause life-threatening complications in children.
- It expands the known clinical spectrum of mesenteric lipomas in pediatric patients.
- Early recognition and surgical intervention are crucial for managing such rare pediatric surgical emergencies.
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