Abstract
Many patients will present to the emergency department with bowel obstruction, and here we report a 4-year-old girl, who presented to the pediatric surgery service with intermittent abdominal pain and bilious emesis. Her imaging studies showed a picture of small bowel volvulus without bowel ischemia, with a soft tissue, benign-looking, mesenteric mass, most likely mesenteric lipoma. This case report documents a rare cause of small bowel obstruction in the pediatric age group.
•Mesenteric lipomas can rarely present as small bowel volvulus in the pediatric age group.•CT scan has a role in ruling out other mid gut pathology in presentations of small bowel obstruction.•Diagnostic laparoscopy aids in confirming diagnosis and intra-operative planning of surgical management.•Awareness of such presentations and ruling out its malignant counterparts are paramount to properly guide management.