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Olajide TA, Adumah CC, Oyekale OT, Omoseebi O, Afolabi AA, Afolabi BA, Aremu SK. Small intestinal obstruction due to subserosa fibrolipoma in a 2-year-old child: A case report and literature review. Afr J Paediatr Surg 2023; 20:238-240. [PMID: 37470563 PMCID: PMC10450111 DOI: 10.4103/ajps.ajps_171_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 06/01/2022] [Accepted: 06/13/2022] [Indexed: 01/22/2023] Open
Abstract
Lipomas of the gastrointestinal tract (GIT) are generally rare. They are rare in children, and when they occur they are usually submucosa. Most of the submucosa lipomas of GIT are present in the colon (65%-75%) and small intestine (25%). In children, intestinal lipoma is a documented cause of pathological lead point intussusception, especially when located in the submucosa. The present case report is of subserosa lipoma in the distal ileum. A 2-year-old boy presented with features of intestinal obstruction which was preceded by a painless abdominal mass. In the absence of computerised tomography scan, he was operated, and histopathology examination confirmed the mass as pedunculated fibrolipoma arising from the subserosa and causing extrinsic compression of the ileum.
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Affiliation(s)
- Timothy Adewale Olajide
- Department of Surgery, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
- Department of Surgery, Federal Teaching Hospital, Ido-Ekiti, Nigeria
| | - Collins Chijioke Adumah
- Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
| | - Oluwalana Timothy Oyekale
- Department of Medical Microbiology and Parasitology, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
- Department of Medical Microbiology and Parasitology, Federal Teaching Hospital, Ido-Ekiti, Nigeria
| | - Oladipo Omoseebi
- Department of Anatomic Pathology, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
- Department of Anatomic Pathology, Federal Teaching Hospital, Ido-Ekiti, Nigeria
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2
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Maree G, Gawrieh B, Omran A, Ali W. A rare lipoma site in a 1-year-old boy. J Surg Case Rep 2021; 2021:rjab447. [PMID: 34729165 PMCID: PMC8557646 DOI: 10.1093/jscr/rjab447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 08/19/2021] [Accepted: 09/15/2021] [Indexed: 11/13/2022] Open
Abstract
Lipomas are benign tumors composed of mature adipocytes. A 1-year-old-male baby was admitted to the hospital with a history of an abdominal mass, which had been incidentally detected by a local pediatrician. upon examining the child for a complaint of distention and chronic diarrhea. An ultrasound and computed tomography scan were performed, and findings revealed a fat mass, which was confirmed by laparotomy and microscopic results. At laparotomy, a soft yellow mass was found attached to the mesentery of the jejunum. The mass was enucleated without anastomosis, and the patient was followed up 4 months postoperatively with regular clinical examination and abdominal ultrasonography. This case was examined and reported in this study because lipomas are very rarely present in the mesentery of the intestine, especially at this early age.
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Affiliation(s)
- Gulan Maree
- Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria
| | - Bardisan Gawrieh
- Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria
| | - Ammar Omran
- Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria
| | - Wajih Ali
- Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria
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3
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Mouna C, Dhafer H, Meryam M, khedhiri N, Benzarti Y, Anis BM. A pitfall in the diagnosis of acute abdomen causing by mesenteric lipoma. INTERNATIONAL JOURNAL OF SURGERY OPEN 2021. [DOI: 10.1016/j.ijso.2021.100395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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4
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Abstract
Mesenteries are extensions of the visceral and parietal peritoneum consisting of fat, vessels, nerves, and lymphatics. Mesenteric masses have a wide differential diagnosis with neoplastic, infectious, or inflammatory etiologies and can either be solid or cystic. Imaging features are critical for the diagnosis. We review the epidemiology, imaging spectrum, and differentiating features and treatment of mesenteric masses.
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5
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Alsayegh R, Almutairi R, Taqi E, Alnaqi A. Mesenteric lipoma presenting as small bowel volvulus. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2019. [DOI: 10.1016/j.epsc.2019.02.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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6
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Hida M, Azahouani A, Elazzouzi D, Benhaddou H. [Giant mesenteric lipoma in children: A case-report]. Arch Pediatr 2017; 24:457-459. [PMID: 28359684 DOI: 10.1016/j.arcped.2017.02.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Revised: 10/11/2016] [Accepted: 02/15/2017] [Indexed: 11/25/2022]
Abstract
Mesenteric lipoma is an extremely rare disease in children. Fewer than 50 cases have been reported in the literature. Diagnosis is based on clinical examination, ultrasound, and computed tomography (CT). However, only the histological study of the specimen during laparotomy or laparoscopy can confirm the diagnosis. Thus, surgery, be it by laparotomy or laparoscopic, is both a means of exploration and treatment in mesenteric lipoma. We report on a case of giant lipoma of the mesentery in a 7-year-old girl presenting paroxysmal abdominal pain with a subocclusive syndrome lasting 1 week.
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Affiliation(s)
- M Hida
- Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc.
| | - A Azahouani
- Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc
| | - D Elazzouzi
- Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc
| | - H Benhaddou
- Service de chirurgie pédiatrique, CHU Mohammed VI, Oujda, Maroc
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7
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Smereczyński A, Kołaczyk K, Bernatowicz E. Intra-abdominal fat. Part III. Neoplasms lesions of the adipose tissue. J Ultrason 2016; 16:145-54. [PMID: 27446599 PMCID: PMC4954860 DOI: 10.15557/jou.2016.0016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2014] [Revised: 11/02/2014] [Accepted: 11/15/2014] [Indexed: 12/13/2022] Open
Abstract
This article focuses on various cancerous lesions that are found beyond organs in the intra-abdominal fat and can be visualized with ultrasonography. These lesions are divided into five groups. The first group includes primary benign tumors containing adipocytes, such as lipoma, lipoblastoma, hibernoma and other lesions with an adipose tissue component, such as myolipoma, angiomyolipoma, myelolipoma and teratoma. The second group comprises primary malignant adipocytecontaining tumors, including liposarcoma and immature teratoma. The third group contains primary benign tumors without an adipocyte component that are located in intra-abdominal fat. This is a numerous group of lesions represented by cystic and solid tumors. The fourth group encompasses primary malignant tumors without an adipocyte component that are located in intra-abdominal fat. These are rare lesions associated mainly with sarcomas: fibrosarcoma, malignant fibrous histiocytoma, hemangiopericytoma and leiomyosarcoma. An epithelioid tumor at this site is mesothelioma. The last but not least group includes secondary malignant tumors without an adipocyte component located in intra-abdominal fat. This is the most numerous group with prevailing carcinoma foci. For each of these groups, the authors present ultrasound features of individual lesions and discuss their differential diagnosis. In the vast majority of cases, the material for cytological and histological analysis can be obtained during ultrasound-guided procedures. This is the advantage of this imaging modality.
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Affiliation(s)
- Andrzej Smereczyński
- Self-Education Ultrasound Study Group, Department of Genetics and Pathomorphology of the Pomeranian Medical University in Szczecin, Poland
| | - Katarzyna Kołaczyk
- Self-Education Ultrasound Study Group, Department of Genetics and Pathomorphology of the Pomeranian Medical University in Szczecin, Poland
| | - Elżbieta Bernatowicz
- Self-Education Ultrasound Study Group, Department of Genetics and Pathomorphology of the Pomeranian Medical University in Szczecin, Poland
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8
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Tayeh C, Mneimneh S, El-Masri R, Daoud N, Rajab M. Giant mesenteric lipoma: A case report and a review of the literature. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2015. [DOI: 10.1016/j.epsc.2015.02.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Kshirsagar AY, Nangare NR, Gupta V, Vekariya MA, Patankar R, Mahna A, Wader JV. Multiple giant intra abdominal lipomas: A rare presentation. Int J Surg Case Rep 2014; 5:399-402. [PMID: 24862028 PMCID: PMC4064398 DOI: 10.1016/j.ijscr.2014.04.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2014] [Accepted: 04/01/2014] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Solitary or multiple lipomas, composed of mature fat, represents by far the most common benign mesenchymal neoplasm occurring throughout the whole body, but they rarely originate in the intestinal mesentery. PRESENTATION OF CASE A 60-year-old male presented with left sided abdominal distension and pain since 4 months, ultrasonography and computerized tomography abdomen was suggestive of multiple well-defined fat density lesions in the lower abdomen and pelvis. USG guided fine needle aspiration cytology was conclusive of a spindle cell lesion. Exploratory laparotomy was performed and multiple major fat tissue swellings were excised. Histopathology confirmed it to be spindle cell type of lipoma. DISCUSSION Because of the silent nature the exact prevalence of lipomas is unknown. It can arise in any location in which fat is normally present, reported intra abdominal lipomas have been very rare. Clinical manifestations depend on the size and location of the growth. In most patients, symptoms are few or absent. USG and CT scan abdomen are used for the diagnosis. Complete surgical excision being the only treatment. CONCLUSION Intra abdominal lipoma is a very rare entity, and many cases might be ignored due to their silent nature. They might or might not present with any symptoms. Complete surgical excision being the only treatment, with a very good prognosis.
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Affiliation(s)
- Ashok Y Kshirsagar
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India.
| | - Nitin R Nangare
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - Vaibhav Gupta
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - Mayank A Vekariya
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - Ritvij Patankar
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - Abhishek Mahna
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
| | - J V Wader
- Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India
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10
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Abstract
Lipomas are mesenchymal tumors characterized by the abnormal proliferation of adipocytes. We describe a case of retroperitoneal lipomas in a patient with chronic lymphatic leukemia, who was referred to our sonography unit for a regular (6-month) follow-up scan. She had no abdominal symptoms of note. The sonographic examination revealed two well-defined, hyperechoic, oval-shaped masses: the first situated between the posterior wall of the stomach, the duodenum, and the head of the pancreas; the second lying craniomedial to the left kidney. Neither of the masses exhibited intralesional vascularization on color Doppler imaging. Retrospective examination of previous CT scans revealed that the lesions had been present for the past 4 years. Their slow growth was consistent with the suspicion of retroperitoneal lipomas, and this diagnosis was confirmed by magnetic resonance imaging. CT and MRI are the imaging studies of choice for diagnosing retroperitoneal lipomas, but ultrasonography is ideal for the follow-up of these patients because it is repeatable and relatively low in cost.
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11
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Imai A, Ichigo S, Takagi H, Matsunami K, Watanabe S, Murase T, Ikeda T. Pelvic tumors with normal-appearing shapes of ovaries and uterus presenting as an emergency (Review). Oncol Lett 2012; 4:10-14. [PMID: 22807951 DOI: 10.3892/ol.2012.692] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2011] [Accepted: 04/18/2012] [Indexed: 12/11/2022] Open
Abstract
Abdominal pain with an associated pelvic mass is a common problem in everyday practice. Concerns about ectopic pregnancy, torsion of an enlarged ovary or malignancy usually dominate the diagnostic evaluation. On physical and imaging examination, when a palpable painful mass is present in the pelvis and the two ovaries and uterus are detected in their normal anatomical locations, the content and origin of the lesions may be significant in narrowing the pre-operative differential diagnosis. Thus, the emergent pelvic indications discussed in this review should be considered. The causes of acute abdominal pain are few in number and therefore an accurate diagnosis may be most frequently made at the time of exploratory laparotomy.
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Affiliation(s)
- Atsushi Imai
- Department of Obstetrics and Gynecology, Matsunami General Hospital, Kasamatsu, Gifu 501-6062, Japan
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12
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Turk E, Karagulle E, Oguz H, Toprak E. Indirect hernial sac containing the uterus, ovary, and fallopian tube in association with a giant intraabdominal lipoma: report of a case. Hernia 2011; 16:593-5. [PMID: 21267614 DOI: 10.1007/s10029-011-0790-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2010] [Accepted: 01/09/2011] [Indexed: 10/18/2022]
Abstract
Presence of the ovary, fallopian tube, and uterus within an inguinal hernia is a rare condition. In this report, we describe the case of a 47-year-old female, multiparous patient with a giant omental lipoma (18 × 8 × 7 cm, 422 g) and left inguinal hernia. The uterus, left ovary, and fallopian tube were in the hernial sac. The presence of the uterus within the hernial sac accompanies mullerian anomalies, although, in this case, there was no such anomaly. To our knowledge, there have been no cases in the literature of a giant intraabdominal lipoma and a hernial sac containing the uterus, ovary, and fallopian tube, but a few cases of inguinal hernia involving the ovary, fallopian tube, and uterus have been reported. The aim of this case report was to call attention to the observation that the inguinal hernia seen in female patients may involve the ovary, fallopian tube, and uterus.
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Affiliation(s)
- E Turk
- Department of General Surgery, Baskent University Faculty of Medicine, Ankara, Turkey
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13
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Laparoscopic examination and resection for giant lipoma of the omentum: a case report and review of related literature. Surg Laparosc Endosc Percutan Tech 2011; 19:e217-20. [PMID: 19851258 DOI: 10.1097/sle.0b013e3181b97edd] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
We report herein the case of a giant lipoma of the greater omentum that was treated by laparoscopic surgery. A 71-year-old male patient was admitted with a diagnosis of sigmoid colon cancer. During preoperative examination, a gallbladder stone and an intra-abdominal giant lipoma were accidentally diagnosed. Laparoscopic examination revealed a smooth-surfaced, giant yellow tumor at the lower border of the greater omentum that was unattached to the surrounding organs. After laparoscopic resection of the tumor and cholecystectomy, a 10-cm midline incision was made in the lower abdomen to remove the tumor and the gallbladder. We then performed a sigmoidectomy for sigmoid colon cancer through the same laparotomy. The resected tumor measured 29 x 19 x 3 cm and weighed 1250 g, and a histopathologic examination revealed a benign lipoma. Laparoscopic examination and resection of a giant lipoma of the omentum are particularly useful.
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14
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Park J. Small Bowel Obstruction Caused by Mesenteric Lipoma in a Child. JOURNAL OF THE KOREAN SURGICAL SOCIETY 2010. [DOI: 10.4174/jkss.2010.79.3.234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jinyoung Park
- Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea
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15
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Cha JM, Lee JI, Joo KR, Choe JW, Jung SW, Shin HP, Kim HC, Lee SH, Lim SJ. Giant mesenteric lipoma as an unusual cause of abdominal pain: a case report and a review of the literature. J Korean Med Sci 2009; 24:333-6. [PMID: 19399281 PMCID: PMC2672139 DOI: 10.3346/jkms.2009.24.2.333] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2007] [Accepted: 02/21/2008] [Indexed: 12/04/2022] Open
Abstract
We report a rare case of giant mesenteric lipoma presenting with colicky abdominal pain. A 29-yr-old woman underwent laparoscopic resection for a giant mesenteric lipoma causing compression of the ileal loop. The resected ileal segment was encased by a giant fatty tissue, and normal mucosal fold patterns of the resected ileum were effaced by the mass. Microscopically, the mass was characterized by homogenous mature adipose tissue without cellular atypia, which was compatible with the diagnosis of a mesenteric lipoma. Despite the benign nature of this tumor, total excision with or without the affected intestinal loop should be considered if intestinal symptoms such as abdominal pain are present.
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Affiliation(s)
- Jae Myung Cha
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Joung Il Lee
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Kwang Ro Joo
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Jae Won Choe
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Sung Won Jung
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Hyun Phil Shin
- Department of Internal Medicine, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Hyun Chel Kim
- Department of Radiology, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Such Hwan Lee
- Department of Surgery, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
| | - Sung Jik Lim
- Department of Pathology, East-West Neo Medical Center, Kyunghee University College of Medicine, Seoul, Korea
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Computed Tomographic and Magnetic Resonance Imaging Findings of Asymptomatic Intra-Abdominal Gastrointestinal System Lipomas. J Comput Assist Tomogr 2008; 32:841-7. [DOI: 10.1097/rct.0b013e318159a4b5] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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17
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Barut I, Tarhan OR, Cerci C, Ciris M, Tasliyar E. Lipoma of the parietal peritoneum: an unusual cause of abdominal pain. Ann Saudi Med 2006; 26:388-90. [PMID: 17019086 PMCID: PMC6074097 DOI: 10.5144/0256-4947.2006.388] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Ibrahim Barut
- Suleyman Demirel University, School of Medicine, Department of General Surgery, Ankara, Turkey.
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18
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Pickhardt PJ, Bhalla S. Primary neoplasms of peritoneal and sub-peritoneal origin: CT findings. Radiographics 2006; 25:983-95. [PMID: 16009819 DOI: 10.1148/rg.254045140] [Citation(s) in RCA: 80] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Peritoneal carcinomatosis is a common metastatic manifestation of many organ-based malignancies, particularly carcinomas of the gastrointestinal tract and ovaries. Primary neoplasms of peritoneal and sub-peritoneal origin occur much less frequently than metastatic peritoneal involvement from a known or occult primary tumor; however, these rare primary lesions (peritoneal mesothelioma, papillary serous carcinoma, desmoplastic small round cell tumor, benign and malignant mesenchymal tumors, lymphoproliferative disorders) are often first detected at computed tomography (CT) and should be considered in the absence of a known or suspected organ-based malignancy. A precise diagnosis based on imaging findings alone is often not possible. Furthermore, distinguishing a benign from a malignant process and a primary from a metastatic process is also challenging. Nevertheless, CT features combined with the patient's relevant clinical and demographic data can help narrow the differential diagnosis for a peritoneum-based neoplasm in many cases. CT is useful not only for the detection, characterization, and staging of primary neoplasms of peritoneal and subperitoneal origin, but also for guiding biopsy for tissue diagnosis.
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Affiliation(s)
- Perry J Pickhardt
- Department of Radiology, University of Wisconsin Medical School, E3/311 Clinical Science Center, 600 Highland Ave, Madison, WI 53792, USA.
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19
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Wong HI, Chen CY, Liu GC. Primary mesenteric lipoma causing closed loop bowel obstruction: a case report. Kaohsiung J Med Sci 2005; 21:138-41. [PMID: 15880878 DOI: 10.1016/s1607-551x(09)70291-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Primary mesenteric lipoma is rare, with fewer than 50 cases described in English-language literature, and those causing bowel obstructions are even more uncommon. The long stalk of the lipoma that caused secondary volvulus and rapid ischemic change in our patient is worth reporting because of its rarity and distinctive picture in emergency abdominal computed tomography.
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Affiliation(s)
- Heong-Ieng Wong
- Department of Medical Imaging, Kaoshiung Medical University, Kaoshiung, Taiwan
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20
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van Breda Vriesman AC, Schuttevaer HM, Coerkamp EG, Puylaert JBCM. Mesenteric panniculitis: US and CT features. Eur Radiol 2004; 14:2242-8. [PMID: 15300397 DOI: 10.1007/s00330-004-2429-7] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2004] [Revised: 05/27/2004] [Accepted: 06/14/2004] [Indexed: 12/25/2022]
Abstract
Mesenteric panniculitis is an aseptic inflammation of mesenteric fat. Before the age of ultrasonography (US) and computed tomography (CT), mesenteric panniculitis was rarely diagnosed, but today the disorder is more commonly encountered, often as an incidental imaging finding. Its exact cause remains unknown. This review illustrates the characteristic US and CT features of mesenteric panniculitis and discusses its differential diagnosis.
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Affiliation(s)
- A C van Breda Vriesman
- Department of Radiology, Rijnland Hospital, Simon Smitweg 1, Leiderdorp, The Netherlands
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21
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Sheth S, Horton KM, Garland MR, Fishman EK. Mesenteric neoplasms: CT appearances of primary and secondary tumors and differential diagnosis. Radiographics 2003; 23:457-73; quiz 535-6. [PMID: 12640160 DOI: 10.1148/rg.232025081] [Citation(s) in RCA: 157] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Computed tomography (CT) remains the optimal imaging modality for diagnosing tumors in the mesentery. Although primary neoplasms arising from the mesenchymal tissues of the mesentery are rare, the small bowel mesentery is a major avenue for the dissemination of tumor within the peritoneal cavity. Tumors spread to the mesentery by four major routes: (a) direct extension, commonly seen with carcinoid tumor of the small intestine as well as intraabdominal cancers such as pancreatic and colon cancer; (b) lymphatic dissemination of lymphoma and some epithelial malignancies; (c) hematogenic spread resulting in embolic metastases to the small intestinal wall, usually seen in melanoma and breast cancer; and (d) seeding through the peritoneum from ovarian and gastrointestinal malignancies as well as some lymphomas. Although percutaneous imaging-guided or surgical biopsy is often necessary to guide management, analysis of CT features along with the clinical history may be useful in differentiating mesenteric tumors from infectious, inflammatory, or vascular processes affecting the mesentery. The article presents the characteristic appearances of primary and secondary mesenteric neoplasms at CT and offers a rational approach to the differential diagnosis of mesenteric masses depicted at CT.
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Affiliation(s)
- Sheila Sheth
- Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 600 N Wolfe St, HAL B176D, Baltimore, MD 21287, USA.
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