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Case Reports
. 2013 Oct;45(3):222-5.
doi: 10.5152/eajm.2013.44.

A rare cause of childhood ileus: giant mesenteric lipoma and a review of the literature

Erdal Turk  1 , Yesim Edirne  2 , Fahri Karaca  2 , Mehmet Erdal Memetoglu  2 , Emel Unal  3 , Ozgur Ermumcu  4
Affiliations
Case Reports

A rare cause of childhood ileus: giant mesenteric lipoma and a review of the literature

Erdal Turk et al. Eurasian J Med. 2013 Oct.

Abstract
in English, Turkish

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.

Mezenterik lipomalar matür yağ hücrelerinin iyi huylu tümörleridir. Genellikle asemptomatik olmalarına rağmen, lokalizasyonlarına ve büyüklüğüne bağlı olarak klinik tablo oluştururlar. Çok nadir görülmelerine rağmen, çok büyümüş dev mezenterik lipomalar kısmi veya tam barsak tıkanıklığına neden olabilirler. Kısmı barsak tıkanıklığı oluşturan lipomalar aralıklı karın ağrısı ve karın şişliği gibi şikayetlere neden olurken, tam barsak tıkanıklığı gelişen olgular akut batın tablosuyla karşımıza çıkarlar. Tedavileri etkilenmiş barsak bölümüyle birlikte kitlenin eksize edilmesidir. 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.

Keywords: Childhood; Giant mesenteric lipoma; Ileus.

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Figures

Figure 1.
Figure 1.
General appearance of the mass and the structural change and obstruction of the small intestine due to mass compression.
Figure 2.
Figure 2.
The general appearance of the mass resected along with the affected part of the small intestine.
Figure 3.
Figure 3.
a, b. Macroscopic (a) and microscopic (b) appearance of the mass.
See this image and copyright information in PMC

References

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