Abstract
Mesenteric lipomas are benign tumors of mature fat cells. They are usually asymptomatic and create a clinical picture that depends on the localization and size of the lipoma. Although rare, unusually large mesenteric giant lipomas can cause partial or complete bowel obstruction. Lipomas resulting in partial bowel obstruction can present with symptoms such as intermittent abdominal pain and abdominal distention. With complete obstruction, a child can present with an acute abdomen. Treatment is the excision of the mass along with the affected portion of bowel. In this case study, a 2-year-old female presented with a bowel obstruction due to the presence of a giant mesenteric lipoma. Clinical features of 16 cases published in the English literature to date are presented.
Highlights
Lipomas presenting in childhood can be superficial or deep
A few can cause symptoms consistent with a partial bowel obstruction, such as intermittent abdominal pain, abdominal distention, and vomiting, with very few resulting in intestinal volvulus or complete intestinal obstruction due to torsion [4, 7, 8]
We report a 2-year-old female who presented with symptoms of complete bowel obstruction and review the features of children with mesenteric lipomas that have been described to date in the English literature
Summary
Lipomas presenting in childhood can be superficial or deep. Deep-seated lipomas can originate from the thorax, chest wall, mediastinum, pleura, pelvis, retroperitoneum, paratesticular area and, very rarely, the bowel mesentery [1,2,3,4]. Çok büyümüş dev mezenterik lipomalar kısmi veya tam barsak tıkanıklığına neden olabilirler. Bu çalışmada dev mezenterik lipom nedeniyle barsak tıkanıklığı gelişmiş 2 yaşında bir kız olgu ve şu ana kadar ingilizce literatürde yayınlanmış 16 olgunun klinik özellikleri sunulmuştur.
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