Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: a case report

Eng, David Yeow Gan and Wei, Woon Teng and Theva Darshini Surenthiran and Chiak, Yot Ng and Mohd Firdaus Mohd Hayati (2022) Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: a case report. Egyptian Journal of Radiology and Nuclear Medicine, 53. pp. 1-4. ISSN 0378-603X (P-ISSN) , 2090-4762 (E-ISSN)

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URL: https://ejrnm.springeropen.com/track/pdf/10.1186/s...

Abstract

Background: Intestinal obstruction is a common surgical emergency that is presented to the hospital with various aetiologies. Among all, mesenteric lipoma is one of the uncommon extraluminal causes of intestinal obstruction. In such conditions, bowel volvulus, compression or even adhesion are the underlying pathologies. Case presentation: We report a 69-year-old gentleman who presented with a triad of intestinal obstruction which required exploratory laparotomy. Preoperative computed tomography revealed multiple coalescing lobulated hypoattenuating lesions encircling part of a small bowel forming transitional zone. These lesions are comparatively more hypoattenuating in comparison with the surrounding mesenteric fat. Intraoperatively, a giant ileal mesenteric lipoma was identified causing compression and folding to the adjacent small bowel, leading to proximal bowel dilatation. Excision of the lipoma with a few mesenteric lymphadenectomy was done, revealing a benign mesenteric lipoma and reactive lymph nodes. Despite ileus, he made a good postoperative recovery and was discharged well. Conclusions: Patients with recurrent abdominal pain must have a thorough endoscopic and imaging assessment. Besides common or malignant aetiology, rarities should be considered and actively sought. Mesenteric lipoma is a relatively indolent tumour for which early detection can alter clinical presentation.

Item Type:	Article
Keyword:	Atypical lipoma , Case report , Computed tomography , Intestinal obstruction
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC870-923 Diseases of the genitourinary system. Urology
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	28 Jul 2022 08:06
Last Modified:	28 Jul 2022 08:06
URI:	https://eprints.ums.edu.my/id/eprint/28930

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