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Giant mesenteric lipoma as an atypical cause of acute abdomen in adult patients, Uncommon case report and literature review

By
José Vicente Fonseca Barragán ,
José Vicente Fonseca Barragán

Hospital Delfina Torres De Concha MSP, Cirugía General. Esmeraldas, Ecuador

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Armando Quiñonez Valencia ,
Armando Quiñonez Valencia

Hospital Delfina Torres De Concha MSP, Cirugía General. Esmeraldas, Ecuador

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Alison Nicole Vásquez Vélez ,
Alison Nicole Vásquez Vélez

Hospital Delfina Torres De Concha MSP, Esmeraldas Ecuador

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Jhonatan Francisco Morillo Trujillo ,
Jhonatan Francisco Morillo Trujillo

Hospital Básico De Esmeraldas IESS, Cirugía General. Esmeraldas, Ecuador

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Lucia Mayte Medina Guevara ,
Lucia Mayte Medina Guevara

Distrito de salud de Esmeraldas 08D01, Ministerio de salud pública

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Wendy Estefanía Chinchin Correa ,
Wendy Estefanía Chinchin Correa

Universidad Central del Ecuador, Quito Ecuador

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Víctor Ernesto Soliz Calle ,
Víctor Ernesto Soliz Calle

Hospital Delfina Torres De Concha MSP, Esmeraldas Ecuador

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Patricia Jordana Valdivieso Estupiñán ,
Patricia Jordana Valdivieso Estupiñán

Sociedad de Lucha contra el Cáncer, Solca, Medicina Interna Guayaquil, Ecuador

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Melissa Valeria Cantos Marcillo ,
Melissa Valeria Cantos Marcillo

Hospital Delfina Torres De Concha MSP, Esmeraldas Ecuador

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Carlos Steewarth Gudiño justicia ,
Carlos Steewarth Gudiño justicia

Hospital Delfina Torres De Concha MSP, Esmeraldas Ecuador

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Abstract

Lipomas are benign tumors of mature adipocytes. In general, they can occur throughout the body, but they commonly predominate in the upper part of the trunk and extremities. They are the most common mesenchymal cell tumors, their location in the mesentery being extremely rare. Mesenteric lipoma is a rare condition reported in the literature, it should be considered in the differential diagnosis of unexplained abdominal pain. This report describes a rare case of mesenteric lipoma in an adult patient. Despite the benign nature of this tumor, it tends to grow to large dimensions, as is the case of our patient, which correlates with an increase in complications. Small, asymptomatic mesenteric lipomas generally do not require treatment, being diagnosed incidentally through routine abdominal imaging, or they may present with variable abdominal symptoms depending on the size, location, and rate of growth of the tumor. Complementary tests such as ultrasound and computed tomography of the abdomen are useful for diagnosis, the latter being the gold standard and complete surgical resection is the only treatment, with an excellent prognosis. We will describe the case of a giant mesenteric lipoma, which atypically caused acute abdominal pain, and we will carry out a review of the literature on this rare condition in adult patients with certain comorbidities, taking into account the infrequent location of its location for this type of tumors and its in turn, through a histopathological study, rule out any type of malignant behavior.

How to Cite

1.
Fonseca Barragán JV, Quiñonez Valencia A, Vásquez Vélez AN, Morillo Trujillo JF, Medina Guevara LM, Chinchin Correa WE, Soliz Calle VE, Valdivieso Estupiñán PJ, Cantos Marcillo MV, Gudiño justicia CS. Giant mesenteric lipoma as an atypical cause of acute abdomen in adult patients, Uncommon case report and literature review. Salud, Ciencia y Tecnología [Internet]. 2024 Jun. 21 [cited 2024 Jul. 15];4:1118. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/1118

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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