Laparoscopic examination and resection for giant lipoma of the omentum: a case report and review of related literature

Surg Laparosc Endosc Percutan Tech. 2009 Oct;19(5):e217-20. doi: 10.1097/SLE.0b013e3181b97edd.

Abstract

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Cholecystectomy, Laparoscopic*
  • Gallstones / surgery
  • Humans
  • Incidental Findings
  • Lipoma / pathology
  • Lipoma / surgery*
  • Male
  • Omentum / pathology
  • Omentum / surgery*
  • Peritoneal Neoplasms / pathology
  • Peritoneal Neoplasms / surgery*
  • Sigmoid Neoplasms / surgery*