title: Mesenteric myolipoma.
abstract: The authors report on a case of benign myolipoma (synonym lipoleiomyoma) which was first described in 1991. The benign soft tissue tumor is composed of smooth muscle and adipose tissue and occurs sporadically in different locations. In the available literature cases were described retroperitoneal, spinal, orbital and subcutaneous and mostly have been discovered in females. Characteristically myolipomas are very large at diagnosis and reach diameters of 7 to 30 cm particularly in peritoneal or retroperitoneal localization. The sometimes enormous size leads to a displacing growth pattern which ultimately leads to the clinical symptoms. The patients often complain of nonspecific, mostly painless abdominal or thoracic pressure. Bordered by an intact capsule the tumors show no signs of malignancy and in the available literature there is no evidence of metastatic seeding. To the best of our knowledge the presented case is the first description of a diffuse mesenteric myolipoma in a male individual. In this article, we present the multidetector computed tomographic image characteristics, macroscopic appearance and histopathological findings.
authors.affiliation: Adel Maataoui, Fawad M Khan, Thomas J Vogl, Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe University, D-60590 Frankfurt am Main, Germany.
authors.forename: Adel
authors.initials: A
authors.lastname: Maataoui
authors.affiliation: Adel Maataoui, Fawad M Khan, Thomas J Vogl, Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe University, D-60590 Frankfurt am Main, Germany.
authors.forename: Fawad M
authors.initials: FM
authors.lastname: Khan
authors.affiliation: Adel Maataoui, Fawad M Khan, Thomas J Vogl, Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe University, D-60590 Frankfurt am Main, Germany.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Vogl
authors.affiliation: Adel Maataoui, Fawad M Khan, Thomas J Vogl, Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe University, D-60590 Frankfurt am Main, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Erler
keywords: Diffuse mesenteric myolipoma; Male individual; Multidetector computed tomography; Peritoneum; Small bowel