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Park: Small Bowel Obstruction Caused by Mesenteric Lipoma in a Child
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(3): 234-237.

Published online: 3 September 2010

DOI: https://doi.org/10.4174/jkss.2010.79.3.234

Small Bowel Obstruction Caused by Mesenteric Lipoma in a Child

Jinyoung Park, M.D.

Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

Corresponding author (kpnugs@yahoo.co.kr)

Received 17 November 2009       Accepted 8 January 2010

Copyright © 2010 The Korean Surgical Society

Abstract

We experienced a case of a 4-year-old girl presenting with vomiting, abdominal pain and mobile mass in the periumbilical area. On physical examination, the abdomen was soft and a 10×10 cm sized, painless firm mobile round mass was palpated in the periumbilical area. An abdominopelvic computed tomography scan showed a huge hypodense mass with encapsulation and multiple septation in the left lower quadrant of the abdomen, compressing the intestinal loops. At operative exploration, she was found to have a soft, yellowish round mass originating from the ileal mesentery, situated 10 cm proximal to the ileocecal valve. The mass was completely excised together with the adjoining ileum, and bowel continuity was restored. Histopathologic diagnosis revealed a mesenteric lipoma, composed of mature adipocytes with no evidence of necrosis or malignancy. The postoperative course was uneventful.

Keywords: Mesentery, Lipoma, Child

Figures and Tables

Fig. 1
Plain abdominal radiograph shows small bowel dilatation.
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Fig. 2
Abdominopelvic computed tomography scan shows a huge hypodense mass with fat density in the left lower quadrant of the abdomen.
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Fig. 3
A yellowish round mass originating from the ileal mesentery is noted. The mass is stretching the adjoining ileum.
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Fig. 4
The cut section of the specimen shows an encapsulated fatty mass with multilobuar appearance.
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Fig. 5
Microscopic examination shows lipoma composed of mature adipocytes with no evidence of malignancy (H&E, ×200).
jkss-79-234-g005

References

1. Ozel SK, Apak S, Ozercan IH, Kazez A. Giant mesenteric lipoma as a rare cause of ileus in a child: report of a case. Surg Today. 2004. 34:470–472.
2. Ilhan H, Tokar B, Isiksoy S, Koku N, Pasaoglu O. Giant mesenteric lipoma. J Pediatr Surg. 1999. 34:639–640.
3. Sato M, Ishida H, Konno K, Komatsuda T, Naganuma H, Segawa D, et al. Mesenteric lipoma: report of a case with emphasis on US findings. Eur Radiol. 2002. 12:793–795.
4. Wolko JD, Rosenfeld DL, Lazar MJ, Underberg-Davis SJ. Torsion of a giant mesenteric lipoma. Pediatr Radiol. 2003. 33:34–36.
5. Sheen AJ, Drake I, George PP. A small bowel volvulus caused by a mesenteric lipoma: report of a case. Surg Today. 2003. 33:617–619.
6. Cherian A, Singh SJ, Broderick N, Zaitoun AM, Kapila L. Small bowel volvulus due to giant mesenteric lipoma. Pediatr Surg Int. 2004. 20:869–871.
7. Wong HI, Chen CY, Liu GC. Primary mesenteric lipoma causing closed loop bowel obstruction: a case report. Kaohsiung J Med Sci. 2005. 21:138–141.
8. Kaniklides C, Frykberg T, Lundkvist K. Paediatric mesenteric lipoma, an unusual cause of repeated abdominal pain. A case report. Acta Radiol. 1998. 39:695–697.
9. Al-Salem AH, Al-Nazer M. Mesenteric lipoblastoma in a 2-year-old child. Pediatr Surg Int. 2003. 19:115–117.
10. Choi SY, Kim H, Hong J. Giant mesenteric lipoma: a case report. J Korean Assoc Pediatr Surg. 2004. 10:47–51.
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