1
|
Sadeghi M, Noorshafiee S, Beshtar S, Rezagholy P, Tavassoli A. Giant lipoma pediculated in the falciform ligament: A case report. CASPIAN JOURNAL OF INTERNAL MEDICINE 2021; 12:S471-S473. [PMID: 34760108 PMCID: PMC8559652 DOI: 10.22088/cjim.12.0.471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Revised: 04/04/2020] [Accepted: 04/28/2021] [Indexed: 12/05/2022]
Abstract
Background: The lipoma is one of the benign soft tissue tumors that occur most in adulthood. These tumors are one of the common tumors of the limbs, and rarely occur in the abdominal cavity. These masses usually grow slowly and are asymptomatic. Case Presentation: In this article, we present a 23-year-old woman who was referred to a doctor with complaints of abdominal pain and enlargement that occurred in the last 4 months. Following surgery and sampling, it was found that the patient had a lipoma, and the liver was a phlegmatic liver in the liver form. Conclusion: The recurrence and metastasis of the primary tumor histology are not always predictable, and the authors stated that all cases of individual fibrous tumors should be known as potentially malignant.
Collapse
Affiliation(s)
- Mostafa Sadeghi
- Montaserieh Dialysis and Transplant Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Sajad Noorshafiee
- Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Shaghayegh Beshtar
- School of Paramedical Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Paiman Rezagholy
- Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Alireza Tavassoli
- Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| |
Collapse
|
2
|
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.
Collapse
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
| |
Collapse
|
3
|
Hashizume N, Aiko T, Fukahori S, Ishii S, Saikusa N, Koga Y, Higashidate N, Sakamoto S, Tsuruhisa S, Nakahara H, Muta H, Miyoshi H, Naito Y, Yamamoto H, Oda Y, Tanaka Y, Yagi M. Benign mesenteric lipomatous tumor in a child: a case report and literature review. Surg Case Rep 2020; 6:243. [PMID: 32997268 PMCID: PMC7527397 DOI: 10.1186/s40792-020-01020-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 09/21/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Lipomatous tumors are the most common type of soft-tissue tumors. Benign lipomatous tumors are lipomas and lipoblastoma. We herein report a case of benign mesenteric lipomatous tumor and the largest collection of known benign mesenteric lipomatous tumors in children in the literature. CASE PRESENTATION A 3-year-old girl presented with repeated dull abdominal pain and left abdominal mass swelling. On a physical examination, the child had a soft, moderately distended left abdomen that was not tender when palpated. Computed tomography and magnetic resonance imaging demonstrated a large fatty mass within the mesentery, measuring approximately 8 × 6 cm. The mass extended from the right upper quadrant to the lower pole of the kidneys. Laparotomy with resection of the mesenteric tumor was performed under general anesthesia. A well-capsuled tumor was a soft, yellow mass and found loosely attached to the mesenterium of the ileum. A histopathological examination demonstrated the lobular proliferation of mature adipocytes. Atypical lipoblasts were not seen. These features are compatible with benign lipomatous tumor, such as lipoma or lipoblastoma with maturation. CONCLUSION In conclusion, benign mesenteric lipomatous tumors tend to be large in size over 10 cm in longitudinal length. However, resection is well tolerated in the vast majority of cases with benign post-operative courses.
Collapse
Affiliation(s)
- Naoki Hashizume
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
| | - Takato Aiko
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Suguru Fukahori
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Shinji Ishii
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Nobuyuki Saikusa
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Yoshinori Koga
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Naruki Higashidate
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Saki Sakamoto
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Shiori Tsuruhisa
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Hirotomo Nakahara
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| | - Hiroko Muta
- Department of Diagnostic Pathology, Kurume University School of Medicine, Asahimachi 67, Kurume, 830-0011, Fukuoka, Japan
| | - Hiroaki Miyoshi
- Department of Diagnostic Pathology, Kurume University School of Medicine, Asahimachi 67, Kurume, 830-0011, Fukuoka, Japan
| | - Yoshiki Naito
- Department of Diagnostic Pathology, Kurume University School of Medicine, Asahimachi 67, Kurume, 830-0011, Fukuoka, Japan
| | - Hidetaka Yamamoto
- Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Higashku umade 3-1-1, Fukuoka, 812-8582, Fukuoka, Japan
| | - Yoshinao Oda
- Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Higashku umade 3-1-1, Fukuoka, 812-8582, Fukuoka, Japan
| | - Yoshiaki Tanaka
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.,Division of Medical Safety Management, Kurume University Hospital, Asahimachi 67, Kurume, 830-0011, Fukuoka, Japan
| | - Minoru Yagi
- Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
| |
Collapse
|
4
|
Giant Adult Mesenteric Lipoma: A Rare Cause of Chronic Abdominal Distention and Discomfort. Case Rep Surg 2020; 2020:6010757. [PMID: 32158586 PMCID: PMC7061103 DOI: 10.1155/2020/6010757] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 02/13/2020] [Indexed: 11/17/2022] Open
Abstract
Solitary or multiple lipomas are considered common tumors that can occur anywhere in the body; however, mesenteric lipoma is a rare entity that is well known to present with signs and symptoms of small bowel volvulus. Hereby, we present a case of a 54-year-old male patient with multiple comorbidities who was suffering from chronic abdominal discomfort and gradual increase of his abdominal distention over many years without seeking any medical attention. The patient was seen by a general practitioner after complaining of an inflated abdomen, as he described his condition. After several imaging studies, he was diagnosed with one of the largest mesenteric lipomas in the literature. Mesenteric lipoma should be present in the differential diagnosis of any abdominal tumor. Magnetic resonance imaging plays a major role in differentiating benign from malignant lipomas.
Collapse
|
5
|
Mbaye PA, Faye AL, Sagna A, Ndoye NA, Seck NF, Ndour O, Ngom G. [Volvulus of the small intestine caused by mesenteric lipoma]. Pan Afr Med J 2017; 27:76. [PMID: 28819497 PMCID: PMC5554644 DOI: 10.11604/pamj.2017.27.76.12748] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Accepted: 05/18/2017] [Indexed: 11/29/2022] Open
Abstract
We report the case of a 7-year old girl presenting with sub-occlusive syndrome associated with acute paroxysmal abdominal pain at the level of the upper abdomen, vomiting and no evacuation of faeces. Physical examination showed discomfort with palpation of the upper abdomen. Abdominal ultrasound showed poorly limited intraperitoneal tissue formation without vascular features on doppler, exercising a mass effect on the neighborhood structures; mesenteric vessels were in their normal position. This mass on CT scan scorresponded to a well limited lipomatous formation exercising a mass effect on the caecum associated with volvulus of the small intestine. The diagnosis of volvulus of the small intestine caused by mesenteric lipoma was retained. Surgical exploration confirmed this diagnosis. The patient underwent unrolling of the small intestine and lipoma enucleation. The postoperative course was uneventful after a follow-up of 6 months. Anatomo-pathological examination confirmed the lipomateuse nature of the mass.
Collapse
Affiliation(s)
- Papa Alassane Mbaye
- Université Cheikh Anta Diop Service de Chirurgie Pédiatrique Hôpital d'Enfants Albert Royer, Dakar, Sénégal
| | - Aime Lakh Faye
- Université Cheikh Anta Diop Service de Chirurgie Pédiatrique Hôpital Aristide Ledantec , Dakar, Sénégal
| | - Aloise Sagna
- Université Cheikh Anta Diop Service de Chirurgie Pédiatrique Hôpital d'Enfants Albert Royer, Dakar, Sénégal
| | - Ndeye Aby Ndoye
- Université Cheikh Anta Diop Service de Chirurgie Pédiatrique Hôpital d'Enfants Albert Royer, Dakar, Sénégal
| | - Ndeye Fatou Seck
- Université Cheikh Anta Diop Service de Chirurgie Pédiatrique Hôpital d'Enfants Albert Royer, Dakar, Sénégal
| | - Oumar Ndour
- Université Cheikh Anta Diop Service de Chirurgie Pédiatrique Hôpital Aristide Ledantec , Dakar, Sénégal
| | - Gabriel Ngom
- Université Cheikh Anta Diop Service de Chirurgie Pédiatrique Hôpital d'Enfants Albert Royer, Dakar, Sénégal
| |
Collapse
|
6
|
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.
Collapse
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
| |
Collapse
|
7
|
Dème H, Badji N, Akpo LG, Touré MH, Draha R, Niang FG, Diop AD, Niang EH. [Mesenteric volvulus associated with mesenteric lipoma: about a case]. Pan Afr Med J 2017; 25:55. [PMID: 28250879 PMCID: PMC5321148 DOI: 10.11604/pamj.2016.25.55.10382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 08/02/2016] [Indexed: 11/11/2022] Open
Abstract
Nous rapportons le cas d'une patiente de 7 ans qui a consulté pour une douleur abdominale aigue paroxystique siégeant au niveau de l'épigastre associée à des vomissements sans arrêt des matières et des gaz. L'examen clinique ainsi que le bilan biologique étaient sans particularité. L'échographie abdominale demandée en première intention a montré une masse du flanc et de la fosse iliaque droite échogène, homogène à contours réguliers sans signal vasculaire au Doppler associée à un signe du tourbillon des vaisseaux mésentériques. A la tomodensitométrie cette masse correspondait à une formation lipomateuse, bien limitée, exerçant un effet de masse sur le cœcum avec volvulus du mésentère au contact. La disposition des vaisseaux mésentériques à leur origine était normale. Le diagnostic de volvulus du mésentère sur lipome a été retenu. La prise en charge chirurgicale et l'analyse anatomopathologique de la pièce opératoire a confirmé le diagnostic. Nous allons à travers ce cas clinique revoir l'apport de l'échographie et du scanner dans le diagnostic de volvulus du mésentère.
Collapse
Affiliation(s)
- Hamidou Dème
- Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal
| | - Nfally Badji
- Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal
| | - Léra Géraud Akpo
- Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal
| | - Mouhamed Hamine Touré
- Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal
| | - Ronald Draha
- Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal
| | - Fallou Gallas Niang
- Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal
| | - Abdoulaye Dione Diop
- Service de Radiologie et Imagerie Médicale, CHNU Fann, Avenue Cheikh Anta Diop Dakar, Sénégal
| | - El Hadj Niang
- Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal
| |
Collapse
|
8
|
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
| |
Collapse
|
9
|
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.
Collapse
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
| |
Collapse
|
10
|
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]
|
11
|
Abstract
A total of 15 coppersmiths who do the job as a traditional profession in Kahramanmaras Province were retrospectively analyzed for revealing a possible relationship of lipoma formation and chronic compression, as the work characteristic related to mechanical pressure to the right thoracal and shoulder region. The workers were examined and their historical data were noted. Chronic compression sites in the patients were also evaluated by magnetic resonance imaging and ultrasonography. The ages were between 30 and 52 years. Body mass index ranged from 18.6 to 38.8. Five were operated for visible lipomatous masses at their injured sites. All of the specimens were reported as containing mature adipocytes. An increased subcutaneous fat thickness at the injured sides of the patients was seen when compared with the uninjured contralateral sides using ultrasonography. At the magnetic resonance images, no capsule intensity was observed in the lipomatose masses. Subcutaneous fat of injured right mammarial regions was thicker than the other contralateral sides in all of the cases. The most prominent lipomas were seen in obese workers, and strong evidence for chronic trauma and lipoma formation as an occupational disease was obtained from the study.
Collapse
|