Small Bowel Volvulus Secondary to Mesenteric Lipoma

BACKGROUND: A lipoma of the small bowel mesentery is a rare clinical entity. It rarely causes intestinal obstruction mainly due to volvulus.CASE: We report a case of a 25 years old male who presented with acute exacerbation of abdominal pain, nausea and vomiting. Plain abdominal x-ray showed complete small bowel obstruction. At laparotomy, there was small bowel volvulus with a big yellow mass as an axis. Enbloc resection and end-to-end ileal anastomosis was done.CONCLUSION; Mesenteric lipoma are rare. They should be considered in cases of long standing abdominal pain.

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Small bowel volvulus secondary to a mesenteric lipoma; a case report and review of the literature

Irish Journal of Medical Science (1971 -) ◽

10.1007/bf03167975 ◽

2006 ◽

Vol 175 (4) ◽

pp. 79-80 ◽

Cited By ~ 2

Author(s):

A. S. McCoubrey ◽

R. L. E. Thompson

Keyword(s):

Case Report ◽

Small Bowel ◽

Review Of The Literature ◽

Small Bowel Volvulus ◽

Mesenteric Lipoma

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An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

Journal of Case Reports in Medicine ◽

10.25149/jcrm.v8i2.175 ◽

2019 ◽

Vol 8 (2) ◽

Author(s):

David Muchuweti ◽

Hopewell Mungani ◽

Farai Mahomva ◽

Edwin Gamba Muguti ◽

...

Keyword(s):

Small Bowel ◽

Small Bowel Obstruction ◽

Acute Abdomen ◽

Bowel Obstruction ◽

Bowel Wall ◽

Haemodynamic Instability ◽

Small Bowel Volvulus ◽

General Surgeons ◽

Heavy Infestation ◽

Emergency Abdominal Surgery

Oftentimes general surgeons working in poorly resourced communities carry out emergency abdominal surgery in patients with acute abdomen with no definitive preoperative diagnosis. The definitive diagnosis is made at laparotomy. Perforated small bowel obstruction secondary to heavy Infestation with Ascaris Lumbricoides brings a number of intraoperative challenges requiring correct intraoperative surgical management decisions. We present a case of a 17 year-old patient who was admitted with a diagnosis of small bowel obstruction who at laparotomy was found to have perforated gangrenous small bowel volvulus with heavy worm load visible through the bowel wall. Because of faecal peritoneal contamination and haemodynamic instability she underwent a two staged procedure with good outcome.

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