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| CASE REPORT |
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| Year : 2012 | Volume
: 58
| Issue : 1 | Page : 54-56 |
Mesenteric fat necrosis after recent surgery causing bowel obstruction: A case report and review of the literature
BR Green, A Reddy, M Jha
Department of Surgery, James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW, United Kingdom
Correspondence Address:
B R Green
Department of Surgery, James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW
United Kingdom
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0022-3859.93253
Mesenteric fat necrosis causing bowel obstruction is a rare occurrence with only one case reported in humans. It is due to accidental or surgical trauma to the adipose tissue with extracellular liberation of fat or enzymatic lysis of fat due to the release of lipases resulting in fibrosis. Preoperative imaging may often be misleading and fail to identify fat necrosis as the cause of bowel obstruction. As surgical intervention is the only suitable treatment option in cases of failed conservative treatment, the diagnosis is made postoperatively. There is no published advice on the management of mesenteric fat necrosis. We recommend safe operating techniques to minimize the risk of developing fat necrosis and its potential harmful consequences.
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