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Primary mesenteric lipoma causing closed loop bowel obstruction: a case report.

Heong-Ieng Wong1, Chiao-Yun Chen, Gin-Chung Liu

  • 1Department of Medical Imaging, Kaoshiung Medical University, Kaoshiung, Taiwan.

The Kaohsiung Journal of Medical Sciences
|May 11, 2005
PubMed
Summary
This summary is machine-generated.

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Primary mesenteric lipomas are rare tumors. This case highlights a rare instance of a lipoma causing bowel obstruction due to a long stalk leading to secondary volvulus and ischemia.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Primary mesenteric lipomas are rare mesenchymal tumors.
  • Bowel obstruction secondary to mesenteric lipoma is exceptionally uncommon.

Observation:

  • A patient presented with symptoms suggestive of bowel obstruction.
  • Emergency abdominal computed tomography (CT) revealed a distinctive mass.

Findings:

  • The CT scan identified a large mesenteric lipoma with a long, twisting stalk.
  • The stalk's torsion led to secondary volvulus and acute ischemic changes in the bowel.

Implications:

  • This case underscores the importance of considering rare diagnoses in bowel obstruction.
  • The unique CT findings in this rare condition are crucial for prompt diagnosis and surgical planning.

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