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Special Feature
October 1, 2006

Image of the Month—Answer

Arch Surg. 2006;141(10):1046. doi:10.1001/archsurg.141.10.1045-b

Mesenteric lipoma is an unusual entity that is most often found in adults between 40 and 60 years of age and rarely occurs in the first decade of life, with fewer than 50 pediatric cases reported in the literature. Lipomas are the most common soft-tissue tumors and are generally ignored if they do not cause aesthetic problems or any symptoms of their anatomical localization.1

Lipomas can be single or multiple and superficially or deeply localized. In children, lipomas occasionally develop superficially or in the trunk. Deep lipomas can be localized in the thorax, mediastinum, thoracic wall, pleura, pelvis, retroperitoneum, and paratesticular area, but they rarely originate in the intestinal mesentery in children. Lipomas have an increased incidence in people with obesity, diabetes mellitus, elevated cholesterol level, familial tendency, trauma, radiation therapy, or chromosomal translocation.1

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