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Published on: May 2, 2025
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Giant abdominal lipofibroma - case presentation.
Liliana Coldea1, Alina Liliana Pintea, Adrian LaurenŢiu Stupariu
1Department of Neurology, "Victor Papilian" Faculty of Medicine, "Lucian Blaga" University of Sibiu, Romania; corinaromanf@yahoo.com.
Summary
A giant abdominal lipoma, a benign fatty tumor, was surgically removed from a 58-year-old patient. This case highlights the potential for large lipomas to cause significant symptoms and require surgical intervention.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Abdominal lipomas are benign mesenchymal tumors composed of mature fatty tissue.
- They can occur at any age and may present with various symptoms depending on size and location.
Observation:
- A 58-year-old patient with cardiovascular pathology presented with insidious onset of diffuse abdominal pain, asthenia, chest pain, and palpitations.
- Clinical and imaging examinations suggested a giant abdominal lipoma.
- The patient underwent surgical excision of a large, encapsulated tumor measuring 250x220x230 mm and weighing 12.3 kg.
Findings:
- Macroscopic examination revealed adipose tissue with hard whitish areas.
- Histopathological examination confirmed the diagnosis of lipofibroma.
Implications:
- This case underscores the importance of considering giant abdominal lipomas in the differential diagnosis of unexplained abdominal symptoms.
- Surgical excision is an effective treatment for symptomatic or large abdominal lipomas.
- Further research into the specific factors contributing to the rapid growth of such benign tumors may be warranted.

