Mesenteric lipoblastoma presenting as a segmental volvulus

David C Yu, Patrick J Javid, Kudakwashe R Chikwava, Harry P Kozakewich, Maria Debiec-Rychter, Craig W Lillehei, Christopher B Weldon
Journal of Pediatric Surgery 2009, 44 (2): e25-8
Mesenteric lipoblastoma is a rare tumor and, its presentation as a bowel obstruction with possible midgut volvulus has only been reported once before. A 7-year-old girl presented with nausea and vomiting but a benign abdominal examination. Upper gastrointestinal contrast study demonstrated possible malrotation with midgut volvulus. During emergency laparotomy, segmental small bowel volvulus secondary to a large mesenteric lipoblastoma was found. The lipoblastoma was resected with a segment of small bowel. Resection margins were negative for tumor, and the patient is doing well with no evidence of recurrence.

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