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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Giant mesenteric lipoma in children: A case-report]
M Hida1, A Azahouani1, D Elazzouzi1
1Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc.
Summary
Giant mesenteric lipoma is a rare pediatric condition. Surgical intervention is crucial for diagnosis and treatment of this abdominal mass presenting with pain and subocclusive syndrome.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Oncology
Background:
- Mesenteric lipomas are exceptionally rare in pediatric patients, with fewer than 50 documented cases.
- Diagnosis typically involves clinical assessment, ultrasound, and computed tomography (CT), but definitive confirmation requires surgical specimen histology.
Observation:
- A 7-year-old girl presented with paroxysmal abdominal pain and subocclusive syndrome lasting one week.
- The patient had a giant lipoma of the mesentery.
Findings:
- Surgical exploration, either via laparotomy or laparoscopy, serves as both diagnostic and therapeutic approach for mesenteric lipomas.
- Histological examination of the surgical specimen is the gold standard for confirming mesenteric lipoma.
Implications:
- This case highlights the importance of considering rare diagnoses in pediatric abdominal emergencies.
- Early surgical intervention is key for managing symptomatic mesenteric lipomas in children.
- Further research into minimally invasive surgical techniques for pediatric mesenteric lipomas is warranted.

