Omental lipoma in pediatric age group: clinical presentation, image findings and management

Abstract

A 2-year-old female patient, admitted in the emergency room, presented diarrhea for 5 days and bloody stools in the last 24 hours. Physical examination revealed no significant findings. Ultrasound was initially performed, showing an elongated, well delimited and solid mass occupying since right hypocondrium until left iliac fossa, displacing adjacent structures. In sequence, magnetic resonance imaging was performed for confirmation of findings suggestive of omentum lipoma. After 1 week, the surgical resection was performed by videolaparoscopic acess. During 2-year follow-up, there was no sign of recurrence.

Giant omental lipoma, a rare etiology of right-iliac fossa pain in adult: A surgical case report

“…Lipomas can be single or multiple, superficial or deeply localized [8] , [9] . Usually, omental lipomas are asymptomatic [2] , [7] , [10] . The clinical presentation varies depending on the location, size, and presence of complications [3] , [11] .…”

“…It provides definitive fat content characterization by determining the attenuation values (−80 to −120 HU) that leads to the lesion localization within the omentum [4] . Although USG and CT are important diagnostic tools, MRI adds better demonstration of the surrounding anatomy [10] . Both CT and MRI help in the detection of complications, such as bleeding or torsion, that may develop in symptomatic patients [1] , [4] .…”