title: A small intestine volvulus caused by strangulation of a mesenteric lipoma: a case report.
abstract: BACKGROUND
  An emergency department encounters a variety of cases, including rare cases of the strangulation of a mesenteric lipoma by the greater omentum band.
  
  
  METHODS
  A 67-year-old Japanese man presented with nausea, vomiting, and upper abdominal pain. There were no abnormalities detected by routine blood tests other than a slight rise in his white cell count. A contrast-enhanced computed tomography scan of his abdomen revealed a dilated intestine, a small intestine volvulus, and a well-capsulated homogeneous mass. He was suspected of having a small intestine volvulus that was affected by a mesenteric lipoma; therefore, single-port laparoscopic surgery was performed. Laparoscopy revealed a small intestine volvulus secondary to the strangulation of a mesenteric lipoma. The band and tumor were removed. He had no postoperative complications and was discharged on postoperative day 6.
  
  
  CONCLUSIONS
  Although this case was an emergency, it showed that single-port laparoscopic surgery can be a safe, useful, and efficacious procedure.
authors.affiliation: Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan. kakihiko1983817@yahoo.co.jp.
authors.forename: Yoshihiko
authors.identifier: http://orcid.org/0000-0003-4886-2307
authors.initials: Y
authors.lastname: Kakiuchi
authors.affiliation: Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Mashima
authors.affiliation: Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Hori
authors.affiliation: Department of Gastroenterological Surgery, Syobara Red Cross Hospital, 2-7-10, Nishihonmachi, Shobara city, Hiroshima, 727-0013, Japan.
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Takashima
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D000368:Aged; D044466:Asian People; D006801:Humans; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D007564:Japan / Q000208:ethnology; D008067:Lipoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008643:Mesentery / Q000473:pathology*; D009325:Nausea / Q000209:etiology; D010534:Peritoneal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology
keywords: Case report; Laparoscopic surgery; Mesenteric lipoma; Strangulation