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Updated: Jul 6, 2026

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

Published on: March 10, 2023

Complicated diffuse lipomatosis mimicking ascites.

Michael Secko¹, Shahriar Zehtabchi

¹Department of Emergency Medicine, Downstate Medical Center/Kings County Hospital Center, Brooklyn, NY, USA.

The American Journal of Emergency Medicine

|March 25, 2008

Summary

This summary is machine-generated.

This study details a rare case of diffuse lipomatosis, a non-cancerous fatty tissue overgrowth, that mimicked ascites in an elderly male patient. The findings highlight the importance of considering unusual presentations of this condition.

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Area of Science:

Medical Science
Pathology
Oncology

Background:

Lipomatosis is a rare, benign condition characterized by the proliferation of non-encapsulated adipose tissue.
It typically affects the abdominal and pelvic regions, but rare cases involve the mediastinum.
The exact etiology of lipomatosis remains unknown, posing diagnostic challenges.

Observation:

A 65-year-old male presented with symptoms suggestive of ascites.
Diagnostic imaging revealed extensive, diffuse lipomatosis rather than fluid accumulation.
The lipomatosis involved both abdominal and mediastinal compartments, a rare presentation.

Findings:

The patient's condition was diagnosed as complicated diffuse lipomatosis.
The overgrowth of fatty tissue mimicked the clinical presentation of ascites.
This case underscores the variable and potentially misleading manifestations of lipomatosis.

Implications:

Accurate diagnosis of lipomatosis is crucial to avoid misinterpretation as other conditions like malignancy or fluid overload.
Understanding rare presentations like this can improve diagnostic strategies for lipomatosis.
Further research into the pathogenesis of diffuse lipomatosis may elucidate its unknown origins.