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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.

Pediatric Surgery International
|June 19, 2004
PubMed
Summary
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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.

Related Experiment Videos

  • 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.