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Giant omental lipoma
Winson Jianhong Tan1, Weng Hoong Chan
1Department of General Surgery, Singapore General Hospital, Singapore.
Singapore Medical Journal
|June 20, 2012
Summary
A rare omental lipoma was incidentally discovered in a woman undergoing statin therapy surveillance. Surgical resection was successful, highlighting the rarity of this benign fatty tumor of the greater omentum.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Lipomas are benign tumors composed of adipose tissue.
- Omental lipomas are exceptionally rare, particularly large ones.
- Routine surveillance for statin therapy can lead to incidental findings.
Observation:
- A 58-year-old Chinese woman presented with incidentally detected abnormal liver function tests.
- Imaging studies, including ultrasonography and computed tomography, identified a large lipoma arising from the greater omentum.
Findings:
- The omental lipoma was successfully treated with surgical resection.
- Histopathological confirmation of the adipose tissue origin of the tumor.
Implications:
- This case underscores the importance of thorough investigation of incidental findings during routine health surveillance.
- Highlights the diagnostic utility of imaging modalities like ultrasonography and CT in identifying rare abdominal masses.
- Contributes to the limited literature on omental lipomas, emphasizing their infrequent presentation and management.
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