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Int J Surg Case Rep. 2013;4(2):232-4. doi: 10.1016/j.ijscr.2012.11.024. Epub 2012 Dec 8.

Mesenteric lipodystrophy - An unusual intraabdominal mass.

Author information

  • 1Department of General and Hepatopbiliary Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. Electronic address: Ronan.McDermott@slh.ie.

Abstract

INTRODUCTION:

We report the case of a 21 year old female with underlying facial lipodystrophy who presented with left lower abdominal pain, weight gain and altered bowel habit.

PRESENTATION OF CASE:

Subsequent investigation showed a large (21cm×18cm×8cm) intraabdominal mass. At laparotomy, it was completely excised and was seen to arise from the transverse mesocolon and following histology revealed it to be mesenteric lipodystrophy.

DISCUSSION:

Mesenteric lipodystrophy is a rare clinical entity, and part of a spectrum of disorders of sclerosing mesenteritis. This is the first reported case in a patient with pre-existing facial lipodystrophy.

CONCLUSION:

Herein we describe a case of mesenteric lipodystrophy, discuss its management and review of the literature.

Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

PMID:
23291330
[PubMed]
PMCID:
PMC3540234
Free PMC Article

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