Giant mesenteric lipoma as an unusual cause of abdominal pain: a case report and a review of the literature.
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.
Cha
Jae Myung
JM
Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea.
Lee
Joung Il
JI
Joo
Kwang Ro
KR
Choe
Jae Won
JW
Jung
Sung Won
SW
Shin
Hyun Phil
HP
Kim
Hyun Chel
HC
Lee
Such Hwan
SH
Lim
Sung Jik
SJ
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