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A rare lipoma site in a 1-year-old boy
Gulan Maree1, Bardisan Gawrieh1, Ammar Omran1
1Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria.
Insights
This case report details an extremely rare instance of a mesenteric lipoma in a 1-year-old child. The benign fatty tumor was successfully removed, highlighting the importance of investigating abdominal masses in pediatric patients.
Area of Science:
- Pediatric Surgery
- Surgical Pathology
- Gastrointestinal Oncology
Background:
- Lipomas, benign tumors of mature adipocytes, are uncommon in the pediatric gastrointestinal tract.
- Mesenteric lipomas are particularly rare, with limited case reports in the literature.
- Early detection and surgical management are crucial for pediatric abdominal masses.
Observation:
- A 1-year-old male presented with abdominal distention and chronic diarrhea.
- An abdominal mass was incidentally detected during a routine pediatric examination.
- Imaging studies, including ultrasound and CT scan, identified a significant fat-containing mass.
Findings:
- Laparotomy revealed a soft, yellow mass attached to the jejunal mesentery.
- Histopathological examination confirmed the diagnosis of a lipoma.
- The mass was successfully enucleated without the need for bowel anastomosis.
Implications:
- This case underscores the rarity of mesenteric lipomas in infants, emphasizing the need for vigilance in diagnosing pediatric abdominal masses.
- Complete surgical excision is an effective treatment for pediatric mesenteric lipomas.
- Postoperative follow-up confirmed successful recovery, highlighting the importance of multidisciplinary care.
Abstract:
Lipomas are benign tumors composed of mature adipocytes. A 1-year-old-male baby was admitted to the hospital with a history of an abdominal mass, which had been incidentally detected by a local pediatrician. upon examining the child for a complaint of distention and chronic diarrhea. An ultrasound and computed tomography scan were performed, and findings revealed a fat mass, which was confirmed by laparotomy and microscopic results. At laparotomy, a soft yellow mass was found attached to the mesentery of the jejunum. The mass was enucleated without anastomosis, and the patient was followed up 4 months postoperatively with regular clinical examination and abdominal ultrasonography. This case was examined and reported in this study because lipomas are very rarely present in the mesentery of the intestine, especially at this early age.
