Mesenteric lipoma as the cause of intermittent abdominal pain

Mesenteric lipomas are extremely rare lesions with about 50 cases described in the current literature. It is a soft and mobile mass that does not infiltrate surrounding structures, and as a result, it mostly remains asymptomatic. However, in case the tumor reaches a large size, it may cause variable symptoms. Magnetic resonance imaging techniques are highly sensitive in characterizing fat-containing masses, including lipoma. Herein, we present a 58-year-old lady who presented with intermittent abdominal pain due to a mesenteric lipoma, but the diagnosis was delayed because of a series of errors in clinical and radiological evaluations.