Mesenteric lipoma simulating an ovarian teratoma
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Mesenteric lipomas are extremely rare in the pediatric population. On CT, a mesenteric lipoma appears as a mass with homogenous fatty attenuation. Differential diagnosis of a fat-containing abdominal mass includes mesenteric lipoma, lipoblastoma, teratoma, lymphangioma, and lymphagiolipoma. Ovarian teratoma/desmoid should also be included in the differential diagnosis of a fatty lesion located in the pelvic region.We present a case of a four-year-old patient who presents with chronic episodic umbilical pain. CT revealed an abdominal mass considered to be ovarian in origin. The real etiology of the patient's pain was found after laparoscopic surgery and pathological analysis, which confirmed the mass to be a mesenteric lipoma. Retrospective coronal reconstruction of the CT demonstrated a mesenteric vessel supplying the lesion....

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