title: Mesenteric lipoblastoma presenting as a segmental volvulus.
abstract: Mesenteric lipoblastoma is a rare tumor and, its presentation as a bowel obstruction with possible midgut volvulus has only been reported once before. A 7-year-old girl presented with nausea and vomiting but a benign abdominal examination. Upper gastrointestinal contrast study demonstrated possible malrotation with midgut volvulus. During emergency laparotomy, segmental small bowel volvulus secondary to a large mesenteric lipoblastoma was found. The lipoblastoma was resected with a segment of small bowel. Resection margins were negative for tumor, and the patient is doing well with no evidence of recurrence.
authors.affiliation: Department of Pediatric Surgery, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA. david.yu@childrens.harvard.edu
authors.forename: David C
authors.initials: DC
authors.lastname: Yu
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Javid
authors.forename: Kudakwashe R
authors.initials: KR
authors.lastname: Chikwava
authors.forename: Harry P
authors.initials: HP
authors.lastname: Kozakewich
authors.forename: Maria
authors.initials: M
authors.lastname: Debiec-Rychter
authors.forename: Craig W
authors.initials: CW
authors.lastname: Lillehei
authors.forename: Christopher B
authors.initials: CB
authors.lastname: Weldon
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D008643:Mesentery; D010534:Peritoneal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery