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792
Multiple giant intra abdominal lipomas: A rare presentation
Ashok Y Kshirsagar1, Nitin R Nangare1, Vaibhav Gupta1
1Department of Surgery and Pathology, Krishna Institute of Medical Sciences University, Karad 415110, Maharashtra, India.
International Journal of Surgery Case Reports
|May 28, 2014
Summary
Intra-abdominal lipomas are rare benign tumors of fat, often asymptomatic. This case highlights a spindle cell lipoma in the mesentery, diagnosed via imaging and confirmed by histopathology, requiring surgical excision.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Lipomas, benign tumors of mature fat, are common mesenchymal neoplasms but rarely occur in the intestinal mesentery.
- Intra-abdominal lipomas are exceptionally rare and often asymptomatic, making their prevalence unknown.
Purpose of the Study:
- To report a rare case of intra-abdominal spindle cell lipoma.
- To discuss the diagnostic modalities and management of mesenteric lipomas.
Main Methods:
- A 60-year-old male presented with abdominal distension and pain.
- Diagnostic imaging included ultrasonography (USG) and computed tomography (CT) of the abdomen.
- Fine needle aspiration cytology (USG-guided) and exploratory laparotomy with histopathological confirmation were performed.
Main Results:
- Imaging revealed multiple well-defined, fat-density lesions in the lower abdomen and pelvis.
- Histopathology confirmed the diagnosis of spindle cell lipoma.
- Surgical excision of the mesenteric lipomas was successfully performed.
Conclusions:
- Intra-abdominal lipomas, particularly in the mesentery, are rare and can be clinically silent.
- Diagnosis relies on imaging (USG, CT) and histopathology.
- Complete surgical excision is the definitive treatment with a favorable prognosis.
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