A CASE REPORT OF MESENTERIC LIPOMA GROWING SUBPEDICULATELY
A 70-year-old woman was admitted to the hospital because of nausea and vomiting. Ultrasound revealed a hyper echoic mass 10cm in diameter in the lower abdomen. Computed tomographic and magnetic resonance imaging scans showed same density and intensity mass as fatty tissue, which had a septum. The pr...
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| Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 64; no. 6; pp. 1482 - 1484 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan Surgical Association
2003
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| Online Access | Get full text |
| ISSN | 1345-2843 1882-5133 |
| DOI | 10.3919/jjsa.64.1482 |
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| Abstract | A 70-year-old woman was admitted to the hospital because of nausea and vomiting. Ultrasound revealed a hyper echoic mass 10cm in diameter in the lower abdomen. Computed tomographic and magnetic resonance imaging scans showed same density and intensity mass as fatty tissue, which had a septum. The preoperative diagnosis was lipoma in the abdomen. At laparotomy, a large tumor 10cm in diameter was found growing subpediculately from the small bowel mesentery. The tumor was resected with a partial resection of the ileum. The resected material disclosed a yellow and elastic soft tumor with the dimension of 14×12×5cm and the weight of 450g. Neither hemorrhage nor necrosis was detected. The histological diagnosis was lipoma arising from the small bowel mesentery. Mesenteric lipomas are rare among tumors arising from the mesentery, especially the lipomas growing with pedicle. So far a few cases of subpediculate mesenteric lipoma have been reported. |
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| AbstractList | A 70-year-old woman was admitted to the hospital because of nausea and vomiting. Ultrasound revealed a hyper echoic mass 10cm in diameter in the lower abdomen. Computed tomographic and magnetic resonance imaging scans showed same density and intensity mass as fatty tissue, which had a septum. The preoperative diagnosis was lipoma in the abdomen. At laparotomy, a large tumor 10cm in diameter was found growing subpediculately from the small bowel mesentery. The tumor was resected with a partial resection of the ileum. The resected material disclosed a yellow and elastic soft tumor with the dimension of 14×12×5cm and the weight of 450g. Neither hemorrhage nor necrosis was detected. The histological diagnosis was lipoma arising from the small bowel mesentery. Mesenteric lipomas are rare among tumors arising from the mesentery, especially the lipomas growing with pedicle. So far a few cases of subpediculate mesenteric lipoma have been reported. |
| Author | TAKEMOTO, Norihiro SHIONO, Tsuneo KATOH, Hiroyuki SEKISHITA, Yoshiaki OONO, Kouichi FUJIMORI, Masaru |
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| References | 5) Kamoshita N, Makita F, Kobayashi M, et al: Large lipoma arising from the small bowel mesentery: Report of a case and reviw of the literature. Kitakanto Med J 49: 447-450, 1999 8) Springfield D: Liposarcoma. Clin Orthop 289: 50-57, 1993 1) Tahlan RN, Garg P, Bishnoi PK, et al: Mesenteric lipoma: An usual case of small intestinal volvulus. Indian J Gastroenterol 16: 159, 1979 9) 飯島俊秀,児島高寛,岡田 孝他:腸間膜腫瘤のX線診断.臨放線 27: 263-268, 1982 3) 松本浩利,森田雅範,豊永真智他:石灰化被膜を有する腸間膜脂肪腫の1例.腹部画像診断 10: 704-709, 1990 6) 南 学,赤羽正章,河内伸夫他: S状結腸間膜由来と思われた脂肪性腫瘍の2例.日独医報 42: 430, 1997 7) Yin-Chin V, Chiu L: Ultrasonography and computed tomography of retroperitoneal liposarcome. J Comput Tomogr 5: 98-109, 1981 11) 倉上龍夫,田辺孝一,保浦正敏他:腸間膜脂肪腫の1例.北海道外科誌 9: 92, 1964 2) Signer RD, Bregman D, Klausner S: Giant lipoma of the mesentery: Report of an usual case and review of the literature. Am Surg 42: 595-597, 1976 4) 森田雅範,耕崎拓大,横山雄一他:腸間膜脂肪腫,脂肪肉腫.別冊日本臨牀領域別症候群シリーズ 11: 1996, p165-168 10) 宮崎秀樹,春山広臣,木下忠雄他:腸間膜脂肪腫の一例.東京医大誌 18: 245-246, 1960 12) 佐藤 徹,加藤一吉,山本洋之他: S状結腸腹膜垂より発生した脂肪腫の1例.鳥取医誌 17: 60-63, 1989 |
| References_xml | – reference: 11) 倉上龍夫,田辺孝一,保浦正敏他:腸間膜脂肪腫の1例.北海道外科誌 9: 92, 1964 – reference: 6) 南 学,赤羽正章,河内伸夫他: S状結腸間膜由来と思われた脂肪性腫瘍の2例.日独医報 42: 430, 1997 – reference: 8) Springfield D: Liposarcoma. Clin Orthop 289: 50-57, 1993 – reference: 9) 飯島俊秀,児島高寛,岡田 孝他:腸間膜腫瘤のX線診断.臨放線 27: 263-268, 1982 – reference: 4) 森田雅範,耕崎拓大,横山雄一他:腸間膜脂肪腫,脂肪肉腫.別冊日本臨牀領域別症候群シリーズ 11: 1996, p165-168 – reference: 2) Signer RD, Bregman D, Klausner S: Giant lipoma of the mesentery: Report of an usual case and review of the literature. Am Surg 42: 595-597, 1976 – reference: 10) 宮崎秀樹,春山広臣,木下忠雄他:腸間膜脂肪腫の一例.東京医大誌 18: 245-246, 1960 – reference: 1) Tahlan RN, Garg P, Bishnoi PK, et al: Mesenteric lipoma: An usual case of small intestinal volvulus. Indian J Gastroenterol 16: 159, 1979 – reference: 3) 松本浩利,森田雅範,豊永真智他:石灰化被膜を有する腸間膜脂肪腫の1例.腹部画像診断 10: 704-709, 1990 – reference: 5) Kamoshita N, Makita F, Kobayashi M, et al: Large lipoma arising from the small bowel mesentery: Report of a case and reviw of the literature. Kitakanto Med J 49: 447-450, 1999 – reference: 12) 佐藤 徹,加藤一吉,山本洋之他: S状結腸腹膜垂より発生した脂肪腫の1例.鳥取医誌 17: 60-63, 1989 – reference: 7) Yin-Chin V, Chiu L: Ultrasonography and computed tomography of retroperitoneal liposarcome. J Comput Tomogr 5: 98-109, 1981 |
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| Title | A CASE REPORT OF MESENTERIC LIPOMA GROWING SUBPEDICULATELY |
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