Laparoscopic examination and resection for giant lipoma of the omentum: a case report and review of related literature.
We report herein the case of a giant lipoma of the greater omentum that was treated by laparoscopic surgery. A 71-year-old male patient was admitted with a diagnosis of sigmoid colon cancer. During preoperative examination, a gallbladder stone and an intra-abdominal giant lipoma were accidentally diagnosed. Laparoscopic examination revealed a smooth-surfaced, giant yellow tumor at the lower border of the greater omentum that was unattached to the surrounding organs. After laparoscopic resection of the tumor and cholecystectomy, a 10-cm midline incision was made in the lower abdomen to remove the tumor and the gallbladder. We then performed a sigmoidectomy for sigmoid colon cancer through the same laparotomy. The resected tumor measured 29 x 19 x 3 cm and weighed 1250 g, and a histopathologic examination revealed a benign lipoma. Laparoscopic examination and resection of a giant lipoma of the omentum are particularly useful.
Department of Surgery, Arita Gastro-Intestinal Hospital daggerDepartment of Surgery I, Faculty of Medicine, Oita University, Oita, Japan. shiroshita@arita-hp.or.jp
Hidefumi
H
Shiroshita
Yoko
Y
Komori
Masaaki
M
Tajima
Toshio
T
Bandoh
Tsuyoshi
T
Arita
Norio
N
Shiraishi
Seigo
S
Kitano
D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D042882:Gallstones / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008067:Lipoma / Q000473:pathology / Q000601:surgery*; D008297:Male; D009852:Omentum / Q000473:pathology / Q000601:surgery*; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000601:surgery*