Enyinnah M O, Umezurike C C
Department of Surgery, Federal Medical Center, Umuahia, Abia State, Nigeria.
Niger J Clin Pract. 2013 Oct-Dec;16(4):551-3. doi: 10.4103/1119-3077.116914.
Although lipoma is a common tumor found in almost all parts of the body, that occurring in the mesentery of the gut is a rarity. A 29-year-old man presented in our center with a 10-year history of recurrent central colicky abdominal pain, vomiting, constipation, and central abdominal mass. Exploratory laparotomy revealed a huge smooth yellow mass in the mesentery of the mid ileum. Resection of the affected segment of the ileum and end to end ileal anastomosis were carried out. Histology report confirmed lipoma. He had uneventful post-operative recovery. Mesenteric lipoma should be considered as a possible differential diagnosis in a patient with recurrent features of intestinal obstruction and a mobile abdominal mass. A high index of suspicion and improvement on the pre-operative diagnosis and treatment are needed in secondary health facilities in Africa.
尽管脂肪瘤是一种常见肿瘤，几乎可在身体的所有部位发现，但发生在肠道系膜的脂肪瘤却很罕见。一名29岁男性到我们中心就诊，有10年复发性中央绞痛性腹痛、呕吐、便秘及中腹部肿块的病史。剖腹探查发现回肠中段系膜有一个巨大的光滑黄色肿块。切除受累的回肠段并进行端端回肠吻合术。组织学报告证实为脂肪瘤。他术后恢复顺利。对于有肠梗阻复发特征和可移动腹部肿块的患者，应考虑肠系膜脂肪瘤作为可能的鉴别诊断。非洲的二级卫生设施需要高度的怀疑指数以及改善术前诊断和治疗。
