Torsion of a Giant Antimesenteric Lipoma of the Ileum: A Rare Cause of Acute Abdominal Pain
| Autor: | Wen-Hsien Kuo, Chung-Cheng Kao, Yi-Wei Tsuei, Yan-Lin Chen, Yen-Yue Lin, Ta-Wei Yang |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Torsion Abnormality medicine.medical_specialty Abdominal pain medicine.medical_treatment Intra-Abdominal Fat Anastomosis Panniculitis Peritoneal 03 medical and health sciences 0302 clinical medicine Laparotomy Mesenteric Vascular Occlusion otorhinolaryngologic diseases Humans Medicine Mesentery Aged business.industry Articles General Medicine Lipoma medicine.disease Acute Pain Abdominal Pain Ileal Neoplasms body regions stomatognathic diseases surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis Abdomen 030211 gastroenterology & hepatology Radiology Segmental resection medicine.symptom business |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| DOI: | 10.12659/ajcr.903574 |
| Popis: | Patient: Male, 67 Final Diagnosis: Torsion of a giant antimesenteric lipoma of the ileum Symptoms: Acute abdomen Medication: — Clinical Procedure: En bloc segmental resection with end-to-end anastomosis Specialty: Surgery Objective: Rare disease 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. |
| Databáze: | OpenAIRE |
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