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Scholars Journal of Medical Case Reports | Volume-2 | Issue-12
Giant Mesenteric Lipoma: Rare Cause of Chronic Pain Abdomen
Mittal Atul Kumar, Pandey Abhinav, Chhabra Sanjeev, Garg Prashant, Kankaria Jeevan, Jenaw Rajkamal
Published: Dec. 30, 2014 |
119
74
DOI: 10.36347/sjmcr.2014.v02i12.019
Pages: 816-818
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Abstract
Lipomas can occur anywhere in the body but origin from intestinal mesentry is very rare. Exact prevalence of
lipomas is unknown because of its silent nature. Mesentric lipomas are mostly asymptomatic but sometimes associated
with abdominal pain, abdominal lump and features of intestinal obstruction. A 52-yr-old man presented with abdominal
pain which was on left lower abdomen and colicky in nature. Patient has history of pain abdomen since last 1yr. But it
had worsened over the past 2 months. CECT scan of whole abdomen revealed a large ill defined fat density lesion noted
involving mesentry on left side below the stomach extending upto suprapubic region and crossing the midline. Patient
planned for open exploration. Per operative findings were: (a) an encapsulated, yellowish pink mass originating from the
ileal mesentery in the lower abdominal cavity, (b) The mass extended from supra pubic region to hypogastric region and
was free of any adhesions or signs of necrosis, (c) Lymphadenopathy, ascitis or fluid collection was not seen, (d) Surgical
removal of the fatty mass was performed without difficulty. The resected mesenteric mass was a soft, yellow mass and
30×15×30 cm in size and weight 4.5 kg. Patient discharged on post-op day 2 and followed up in surgical outdoor for 5
month. Due to silent nature of these mesenteric lipomas, prevalence of mesenteric lipomas is unknown, but it’s certainly
higher than reported. Higher incidence of Lipomas is seen in obese and diabetic people.