PMC7876929_01
Contrast-enhanced CT abdominal scan showed a dilated intestine with some air-fluid interfaces and ileal lipomatous mass envolving the transition loop.
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We performed a contrast-enhanced CT abdominal scan that showed a dilated intestine with multiple air-fluid levels and a volvulus due to a lipoma of the distal middle third of the ileum (Fig. 1). Considering the presence of a limited working space for the distension of the small bowel we preferred a laparotomic rather than laparoscopic approach and we performed an exploratory 10-cm lenght minilaparotomy through a supra-sub umbilical incision in urgent seting. We chose a minilaparotomy approach for its lower invasiveness, shorter hospitalization, less pain and reduction in typical wall complications of laparotomy.