A giant lipoma of the parietal peritoneum: Laparoscopic excision with the parietal peritoneum preserving procedure – a case report with literature review

Abstract

BackgroundLipomas are very common benign tumors of mature fatty tissue that can occur in any part of the body. However, lipomas of the parietal peritoneum are extremely rare.Case presentationA 36-year-old man presented with urinary frequency for 6 months. On computerized tomography of the abdomen and pelvis, a well-defined fatty mass measuring 20 × 11 × 6.5 cm in size, was found in the lower abdominal cavity. We performed a laparoscopic parietal-peritoneum-preserving excision of the mass. The patient was discharged without complications on post-operative day 6.ConclusionsTo our knowledge, a laparoscopic excision with preservation of the parietal peritoneum for a giant parietal peritoneal lipoma has never been reported. Herein, we report a case of a giant lipoma of the parietal peritoneum successfully managed by laparoscopy.

Parietal peritoneal lipomas: a first case report of two lipomas of the parietal peritoneum

“…Parietal peritoneal lipomas are a rare surgical entity with seven documented cases in the published literature since 2006 [ 1 ]. This is the eighth report to date and the first reported case with two parietal lipomas that were incidentally discovered during laparoscopic umbilical herniorrhaphy.…”

“…There was one case of urinary frequency due to external bladder compression with a large lipoma of 942 g. Management usually involved excision of the lipoma and peritoneum. For the patient with urinary frequency, the lipoma was excised and the peritoneum preserved to reduce the pain associated with a large peritoneal excision [ 1 ].…”

“…Parietal peritoneal lipomas are extremely rare in the published literature, and we present a first case report of two parietal peritoneal lipomas incarcerated in an umbilical hernia [ 1 ]. The hernia was laparoscopically repaired with a preperitoneal mesh, and the lipomas left in situ as they displayed no evidence of torsion or inflammation.…”

Laparoscopically Assisted Transperineal Approach in the Management of a Giant Pelvic Lipoma

“…Laparoscopy is often the first choice with respect to addressing any pelvic mass. 12 , 13 Combined and asynchronous approaches are also described. 5 , 14 …”

A Giant Pre-Peritoneal Lipoma: A Report of an Uncommon Presentation of a Rare Entity and a Review of the Literature

“…Intra-abdominal lipomas usually affect the omentum, mesentery, the submucosa and subserosa of the gastrointestinal tract [3]. Involvement of the preperitoneal layer of the anterior abdominal wall is rare with only 8 cases reported so far in the literature (Table 1) [4][5][6][7][8][9][10][11]. Sanchez et al defined a giant lipoma as one that is at least 10cm in diameter or at least 1000g in weight [12].…”