[Mesenteric volvulus associated with mesenteric lipoma: about a case].

Autor:	Dème H; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal., Badji N; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal., Akpo LG; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal., Touré MH; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal., Draha R; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal., Niang FG; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal., Diop AD; Service de Radiologie et Imagerie Médicale, CHNU Fann, Avenue Cheikh Anta Diop Dakar, Sénégal., Niang EH; Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal.
Jazyk:	francouzština
Zdroj:	The Pan African medical journal [Pan Afr Med J] 2016 Sep 30; Vol. 25, pp. 55. Date of Electronic Publication: 2016 Sep 30 (Print Publication: 2016).
DOI:	10.11604/pamj.2016.25.55.10382
Abstrakt:	We report the case of a 7-year old patient presenting for acute paroxysmal abdominal pain at the level of epigastrium associated with vomiting without involving blockage of materials and gas. Clinical examination and laboratory tests were unremarkable. Abdominal ultrasound was requested as a first line investigationa and showed a right echogenic homogeneous flank and iliac fossa mass with regular contours without vascular Doppler signal and associated with "whirl sign" of mesenteric vessels. On CT scan this mass was seen as a well-defined lipoma formation, exerting a mass effect on the cecum, which was in direct contact with mesenteric volvulus. Arrangement of the mesenteric vessels at their origin was normal. The diagnosis of mesenteric volvulus associated with lipoma was retained. Surgical management and histological analysis of the surgical specimen confirmed the diagnosis. This clinical case aims to highlight the contribution of ultrasound and CT scan in the diagnosis of midgut volvulus. Competing Interests: Les auteurs déclarent ne pas avoir de conflits d'intérêts en relation avec cet article.
Databáze:	MEDLINE
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