Abtar Houssam Khodor, Abdallah Fahed Kheireddine, Lakkis Rayan Said, Terro Jad Jamal, Ismail Nathalie Haidar, Al Raishouni Mohammad Ahmad, Ahmad Houssein Haidar, Jammoul Kassem Mohammad
Department of Surgery, Central Military Hospital, Beirut, Lebanon.
Hopital Delafontaine, Saint-Denis, Paris, France.
Case Rep Surg. 2020 Feb 25;2020:6010757. doi: 10.1155/2020/6010757. eCollection 2020.
Solitary or multiple lipomas are considered common tumors that can occur anywhere in the body; however, mesenteric lipoma is a rare entity that is well known to present with signs and symptoms of small bowel volvulus. Hereby, we present a case of a 54-year-old male patient with multiple comorbidities who was suffering from chronic abdominal discomfort and gradual increase of his abdominal distention over many years without seeking any medical attention. The patient was seen by a general practitioner after complaining of an inflated abdomen, as he described his condition. After several imaging studies, he was diagnosed with one of the largest mesenteric lipomas in the literature. Mesenteric lipoma should be present in the differential diagnosis of any abdominal tumor. Magnetic resonance imaging plays a major role in differentiating benign from malignant lipomas.
孤立性或多发性脂肪瘤被认为是常见肿瘤，可发生于身体任何部位；然而，肠系膜脂肪瘤是一种罕见的疾病，众所周知会表现出小肠扭转的体征和症状。在此，我们报告一例54岁男性患者，该患者患有多种合并症，多年来一直遭受慢性腹部不适和腹部逐渐膨隆之苦，但未寻求任何医疗救治。患者如他所描述的那样，因腹胀不适而就诊于一名全科医生。经过多项影像学检查后，他被诊断为文献记载中最大的肠系膜脂肪瘤之一。肠系膜脂肪瘤应列入任何腹部肿瘤的鉴别诊断之中。磁共振成像在鉴别良性和恶性脂肪瘤方面起着主要作用。
