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RESEARCH PRODUCT

Small bowel volvulus due to a large intestinal lipoma: A rare case report

Leonardo GulottaFederica RicupatiAntonino AgrusaGiuseppe AmatoGiorgio RomanoGiuseppe Di Buono

subject

medicine.medical_specialtymedicine.medical_treatmentCase ReportAnastomosisAsymptomatic03 medical and health sciences0302 clinical medicineLaparotomymedicineotorhinolaryngologic diseasesMesenteryAntimesenteric lipomabusiness.industryStandard treatmentSmall bowel obstructionLipomamedicine.diseasedigestive system diseasesVolvulusBowel obstructionmedicine.anatomical_structure030220 oncology & carcinogenesisIntestinal volvulusEmergency surgery030211 gastroenterology & hepatologySurgeryRadiologymedicine.symptombusiness

description

Highlights • These are rare, benign, slow-growing mesenchymal tumors originating from adipose tissue in the bowel wall. Lipomas of mesentery, mesocolon, and antimesenteric side of intestine are extremely rare. • We describe a case of small bowel obstruction secondary to volvulus due to an antimesenteric ileal lipoma. • Mesenteric lipomas are rare clinical entity, with less than 50 cases described in English language literature. CT scan is the gold standard imaging modality for diagnosis of mesenteric lipoma and other lipomatous abdominal masses. • It shows homogenous tumor of adipose tissue, gives information about features of the small bowel and if there is evidence of ischemia and can demonstrate the typical “vortix” pattern of a volvulus.

10.1016/j.ijscr.2020.09.123http://europepmc.org/articles/PMC7876929