title: Giant mesenteric lipoma as an unusual cause of abdominal pain: a case report and a review of the literature.
abstract: We report a rare case of giant mesenteric lipoma presenting with colicky abdominal pain. A 29-yr-old woman underwent laparoscopic resection for a giant mesenteric lipoma causing compression of the ileal loop. The resected ileal segment was encased by a giant fatty tissue, and normal mucosal fold patterns of the resected ileum were effaced by the mass. Microscopically, the mass was characterized by homogenous mature adipose tissue without cellular atypia, which was compatible with the diagnosis of a mesenteric lipoma. Despite the benign nature of this tumor, total excision with or without the affected intestinal loop should be considered if intestinal symptoms such as abdominal pain are present.
authors.affiliation: Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea.
authors.forename: Jae Myung
authors.initials: JM
authors.lastname: Cha
authors.forename: Joung Il
authors.initials: JI
authors.lastname: Lee
authors.forename: Kwang Ro
authors.initials: KR
authors.lastname: Joo
authors.forename: Jae Won
authors.initials: JW
authors.lastname: Choe
authors.forename: Sung Won
authors.initials: SW
authors.lastname: Jung
authors.forename: Hyun Phil
authors.initials: HP
authors.lastname: Shin
authors.forename: Hyun Chel
authors.initials: HC
authors.lastname: Kim
authors.forename: Such Hwan
authors.initials: SH
authors.lastname: Lee
authors.forename: Sung Jik
authors.initials: SJ
authors.lastname: Lim
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000273:Adipose Tissue / Q000473:pathology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology; D010535:Laparoscopy; D008067:Lipoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008643:Mesentery / Q000473:pathology; D010534:Peritoneal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed