Mesenteric lipoblastoma presenting as a segmental volvulus.
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.
Yu
David C
DC
Department of Pediatric Surgery, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA. david.yu@childrens.harvard.edu
Javid
Patrick J
PJ
Chikwava
Kudakwashe R
KR
Kozakewich
Harry P
HP
Debiec-Rychter
Maria
M
Lillehei
Craig W
CW
Weldon
Christopher B
CB
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