Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report
Abstract Background Intestinal obstruction is a common surgical emergency that is presented to the hospital with various aetiologies. Among all, mesenteric lipoma is one of the uncommon extraluminal causes of intestinal obstruction. In such conditions, bowel volvulus, compression or even adhesion ar...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-01-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43055-021-00664-1 |
| _version_ | 1818750221704757248 |
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| author | David Eng Yeow Gan Wei Woon Teng Theva Darshini Surenthiran Chiak Yot Ng Firdaus Hayati |
| author_facet | David Eng Yeow Gan Wei Woon Teng Theva Darshini Surenthiran Chiak Yot Ng Firdaus Hayati |
| author_sort | David Eng Yeow Gan |
| collection | DOAJ |
| description | Abstract Background Intestinal obstruction is a common surgical emergency that is presented to the hospital with various aetiologies. Among all, mesenteric lipoma is one of the uncommon extraluminal causes of intestinal obstruction. In such conditions, bowel volvulus, compression or even adhesion are the underlying pathologies. Case presentation We report a 69-year-old gentleman who presented with a triad of intestinal obstruction which required exploratory laparotomy. Preoperative computed tomography revealed multiple coalescing lobulated hypoattenuating lesions encircling part of a small bowel forming transitional zone. These lesions are comparatively more hypoattenuating in comparison with the surrounding mesenteric fat. Intraoperatively, a giant ileal mesenteric lipoma was identified causing compression and folding to the adjacent small bowel, leading to proximal bowel dilatation. Excision of the lipoma with a few mesenteric lymphadenectomy was done, revealing a benign mesenteric lipoma and reactive lymph nodes. Despite ileus, he made a good postoperative recovery and was discharged well. Conclusions Patients with recurrent abdominal pain must have a thorough endoscopic and imaging assessment. Besides common or malignant aetiology, rarities should be considered and actively sought. Mesenteric lipoma is a relatively indolent tumour for which early detection can alter clinical presentation. |
| first_indexed | 2024-12-18T04:16:14Z |
| format | Article |
| id | doaj.art-fabb97dab0744262a879770e2a2d901b |
| institution | Directory Open Access Journal |
| issn | 2090-4762 |
| language | English |
| last_indexed | 2024-12-18T04:16:14Z |
| publishDate | 2022-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-fabb97dab0744262a879770e2a2d901b2022-12-21T21:21:21ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622022-01-015311410.1186/s43055-021-00664-1Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case reportDavid Eng Yeow Gan0Wei Woon Teng1Theva Darshini Surenthiran2Chiak Yot Ng3Firdaus Hayati4Department of Surgery, Queen Elizabeth Hospital, Ministry of Health MalaysiaDepartment of Surgery, Queen Elizabeth Hospital, Ministry of Health MalaysiaDepartment of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia SabahDepartment of Radiology, Faculty of Medicine and Health Sciences, Universiti Malaysia SabahDepartment of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia SabahAbstract Background Intestinal obstruction is a common surgical emergency that is presented to the hospital with various aetiologies. Among all, mesenteric lipoma is one of the uncommon extraluminal causes of intestinal obstruction. In such conditions, bowel volvulus, compression or even adhesion are the underlying pathologies. Case presentation We report a 69-year-old gentleman who presented with a triad of intestinal obstruction which required exploratory laparotomy. Preoperative computed tomography revealed multiple coalescing lobulated hypoattenuating lesions encircling part of a small bowel forming transitional zone. These lesions are comparatively more hypoattenuating in comparison with the surrounding mesenteric fat. Intraoperatively, a giant ileal mesenteric lipoma was identified causing compression and folding to the adjacent small bowel, leading to proximal bowel dilatation. Excision of the lipoma with a few mesenteric lymphadenectomy was done, revealing a benign mesenteric lipoma and reactive lymph nodes. Despite ileus, he made a good postoperative recovery and was discharged well. Conclusions Patients with recurrent abdominal pain must have a thorough endoscopic and imaging assessment. Besides common or malignant aetiology, rarities should be considered and actively sought. Mesenteric lipoma is a relatively indolent tumour for which early detection can alter clinical presentation.https://doi.org/10.1186/s43055-021-00664-1Atypical lipomaCase reportComputed tomographyIntestinal obstruction |
| spellingShingle | David Eng Yeow Gan Wei Woon Teng Theva Darshini Surenthiran Chiak Yot Ng Firdaus Hayati Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report The Egyptian Journal of Radiology and Nuclear Medicine Atypical lipoma Case report Computed tomography Intestinal obstruction |
| title | Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report |
| title_full | Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report |
| title_fullStr | Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report |
| title_full_unstemmed | Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report |
| title_short | Radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction: A case report |
| title_sort | radiological manifestations of benign mesenteric lipoma that presented with acute intestinal obstruction a case report |
| topic | Atypical lipoma Case report Computed tomography Intestinal obstruction |
| url | https://doi.org/10.1186/s43055-021-00664-1 |
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