27 May 2017
: Case report
Torsion of a Giant Antimesenteric Lipoma of the Ileum: A Rare Cause of Acute Abdominal Pain
Challenging differential diagnosis, Unusual setting of medical care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Ta-Wei Yang1BDEF, Yi-Wei Tsuei1BD, Chung-Cheng Kao1AD, Wen-Hsien Kuo2AD, Yan-Lin Chen3D, Yen-Yue Lin1DEFDOI: 10.12659/AJCR.903574
Am J Case Rep 2017; 18:589-592
Abstract
BACKGROUND: Torsion of an intra-abdominal lipoma is rarely the cause of acute abdominal pain. Most of the previously reported cases of intra-abdominal lipoma torsion originated in the mesentery or omentum. However, an antimesenteric lipoma of the ileum with torsion has not been reported before.
CASE REPORT: A 67-year-old man presented to the emergency department with acute abdominal pain. Contrast-enhanced computed tomography (CECT) of the abdomen and pelvis only showed a giant fat-containing, soft-tissue, intra-abdominal tumor, suspected to be a lipoma. Laparotomy was performed, and the presence of torsion of the antimesenteric lipoma of the ileum was confirmed. Beside tumor resection, en bloc segmental resection of the ileum with end-to-end anastomosis was performed to avoid bowel stricture and obtain tumor-free margins.
CONCLUSIONS: CECT is the modality of choice to detect an intra-abdominal lipoma. Urgent surgical intervention should be considered if the symptoms persist and torsion cannot be excluded. If simple excision is not adequate because of poor accessibility of the tumor stalk, en bloc segmental resection with end-to-end anastomosis should be considered.
Keywords: Intra-Abdominal Fat, Mesenteric Vascular Occlusion, Panniculitis, Peritoneal, Torsion Abnormality
In Press
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.949330
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.947938
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.947163
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.949194
Most Viewed Current Articles
21 Jun 2024 : Case report
101,695
DOI :10.12659/AJCR.944371
Am J Case Rep 2024; 25:e944371
07 Mar 2024 : Case report
54,424
DOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
20 Nov 2023 : Case report
37,967
DOI :10.12659/AJCR.941424
Am J Case Rep 2023; 24:e941424
07 Jul 2023 : Case report
25,852
DOI :10.12659/AJCR.940200
Am J Case Rep 2023; 24:e940200