Year 2024 / Volume 116 / Number 6
Letter
An unusual cause of recurrent abdominal pain in a middle-aged man

341-342

DOI: 10.17235/reed.2023.9879/2023

Yuxuan Tang, Xiufan Ni, Sujun Gao, Li Zhang, Jian Yin, Lei Chen, Zhen Zhu,

Abstract
A 54-year-old man was hospitalized with intermittent periumbilical pain for 1-month duration. Abdominal contrast-enhanced computed tomography (CT) revealed target-sign and a fat density mass measuring 2.0 × 2.5-cm in the distal ileum. Part mesenteric tissues and blood vessels were embedded and the wall of the affected intestinal tube was thickened and edematous. His symptom was alleviated after conservative treatment and he refused further management. The patient was hospitalized again with the same symptoms and abdominal CT findings 4 years later. Exploratory laparotomy was performed. A palpable mass in the ileum was found measuring 3.0 × 3.0-cm and partial enterectomy was performed. Postoperative histopathology revealed the resected mass was composed of proliferating mature adipocytes surrounded by few fibrous connective tissue. Hyperplastic fibroblast and inflammatory exudative necrotic tissue were found on the surface of the mass. The patient was diagnosed as ileum fibrolipoma with intussusception. He was discharged home uneventfully and no symptoms was observed in 12 months follow-up.
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References
1. Choi HJ. Preauricular fibrolipoma presenting as upper parotid tumor. J Craniofac Surg 2015;26:601-2. DOI: 10.1097/SCS.0000000000001531.
2. Kim BJ, Park CS. A massive fibrolipoma in the temple. J Craniofac Surg 2013;24:e251-3. DOI: 10.1097/SCS.0b013e3182869f25.
3. Zhao B, Zhou X, Wang W. Duodenal descending part-jejunum intussusception and upper gastrointestinal bleeding caused by duodenal fibrolipoma: a case report. BMC Surg 2019;19:169. DOI: 10.1186/s12893-019-0634-1.
4. Tang Y, Zhang L, Ni X, et al. Endoscopic submucosal dissection of a rare antral mass: gastric fibrolipoma. Rev Esp Enferm Dig 2023 Mar 17. DOI: 10.17235/reed.2023.9581/2023.
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Tang Y, Ni X, Gao S, Zhang L, Yin J, Chen L, et all. An unusual cause of recurrent abdominal pain in a middle-aged man. 9879/2023


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Publication history

Received: 30/07/2023

Accepted: 31/07/2023

Online First: 04/08/2023

Published: 04/06/2024

Article Online First time: 5 days

Article editing time: 310 days


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