Unusual cause of acute abdomen in emergency room: intestinal lipoma - case series and literature review
DOI:
https://doi.org/10.11606/issn.1679-9836.v100i1p78-83Keywords:
Acute abdomen, Lipoma, Intestinal pseudo-obstruction, Laparoscopy, Benign lesionAbstract
Lipomas are benign lesions formed by adult fatty cells, surrounded by a fibrous capsule. These tumors may be asymptomatic or present a variety of symptoms, which may occur as a surgical emergency, and may also be erroneously diagnosed as malignant disease. We report three cases of patients diagnosed with gastrointestinal lipomas (one case from the small intestine, another one from the cecum and the third one from the sigmoid) after the clinical presentation of acute abdomen, the first two cases were initially treated by laparoscopy and subsequently resection and anastomosis were performed by extracorporeal pathways through a Pfannenstiel incision. The third case had a laparotomic approach. The study was observational and retrospective with research of medical records. Lipomas of the gastrointestinal tract are rare, but should be included in the differential diagnosis, especially in patients presenting with acute abdominal pain, usually compatible with acute obstructive abdomen.
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Copyright (c) 2021 Nina Rosa Tenório Lira, Matheus Dantas Gomes Gonçalves, Rodrigo Santiago Moreira, Raquel Nogueira Nogueira C. L. Lima, Diego Laurentino Lima, Gustavo Henrique Belarmino Góes, Balduíno Guedes Nóbrega Júnior
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