Fatty masses of the abdomen and pelvis and their complications

Drylewicz, Monica R.; Lubner, Meghan G.; Pickhardt, Perry J.; Menias, Christine O.; Mellnick, Vincent M.

doi:10.1007/s00261-018-1784-9

Cited by 6 publications

(5 citation statements)

References 29 publications

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“…While CT readily identifies macroscopic fat, microscopic fat is less identifiable on CT. On the other hand, MRI techniques are highly sensitive in characterizing fat-containing masses, including lipoma. On MRI, a mesenteric lipoma typically demonstrates homogeneous high T1 and intermediate T2 signal intensity and saturates on fat-saturated sequences [4][5][6]. We presented a case with delayed diagnosis due to errors in both clinical and radiological evaluation.…”

Section: Discussionmentioning

confidence: 96%

Mesenteric lipoma as the cause of intermittent abdominal pain

2020

Ann Clin Anal Med

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Mesenteric lipomas are extremely rare lesions with about 50 cases described in the current literature. It is a soft and mobile mass that does not infiltrate surrounding structures, and as a result, it mostly remains asymptomatic. However, in case the tumor reaches a large size, it may cause variable symptoms. Magnetic resonance imaging techniques are highly sensitive in characterizing fat-containing masses, including lipoma. Herein, we present a 58-year-old lady who presented with intermittent abdominal pain due to a mesenteric lipoma, but the diagnosis was delayed because of a series of errors in clinical and radiological evaluations.

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Section: Discussionmentioning

confidence: 96%

Mesenteric lipoma as the cause of intermittent abdominal pain

2020

Ann Clin Anal Med

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“…Medical management options such as injectable medications have been explored, though their efficacy for giant lipomas is uncertain [1,3]. In cases where surgery is not feasible, radiation therapy might be considered a palliative option [6]. Furthermore, genetic counseling may be recommended for rare familial cases, providing insights into underlying genetic disorders and guiding treatment decisions [1].…”

Section: Conditionmentioning

confidence: 99%

“…Although a lipoma's size is not always related to its symptoms or consequences, more giant lipomas may be easier to see or more uncomfortable to feel, which increases the chance that it will need to be removed [5]. Regarding management, giant lipomas are classified as lesions more significant than 10 cm long or weighing more than 1,000 g, which poses unique challenges compared to smaller lipomas [6,7].…”

Section: Introductionmentioning

confidence: 99%

Atypical Giant Lipoma in the Left Lower Abdomen: A Case Study

Singh,

Gharde,

Tayade

et al. 2024

Cureus

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In the present case report, we discuss a case of an uncommon giant lipoma in the left lower abdomen of a 55-year-old female. The case is presented to highlight the need to consider lipoma as one of the possibilities in cases with subcutaneous masses. Despite its abnormal location and considerable magnitude, surgical excision under short general anesthesia resulted in successful outcomes without immediate complications. Finally, by comparing with similar circumstances, it is possible to recognize that individualized management strategies based on patient characteristics can benefit surgical considerations. The significant message is that timely intervention, comprehensive assessment, and teamwork are essential in achieving satisfactory outcomes among patients with rare cases of lipomas, such as this one.

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“…The prognosis is remarkable for benign lipomas and carry no risk for malignant transformation (2). Recurrence is not expected if the anatomical excision was complete (52,57). However a 3-year follow-up is recommended.…”

Section: Prognosismentioning

confidence: 99%

Lipoma; A Common Neoplasm

Tabatabaei¹

2023

Preprint

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Objective In this essay, the manifestations, possible etiologies, diagnostic approachs, treatment methods and complications of lipomas are reviewed. Methods A thorough review of the literature is conducted, a series of 12 patients are outlined and briefly examined. Results Lipomas may present as asymptomatic tumors or produce distressing signs and symptoms such as pain, swelling and overgrowth. Some lipomas may be identified by physical examination alone. However, magnetic resonance imaging (MRI) is the conclusive method of evaluation especially in deeper lesions. Conclusions In the absence of concerning indications or cosmetic concerns, observation stays the standard of care. When pain, itching, compression symptoms or disfigurement impress the patient, surgical removal and pathology assessment are typically recommended. Malignant transformation rarely occurs.

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Fatty masses of the abdomen and pelvis and their complications

Cited by 6 publications

References 29 publications

Mesenteric lipoma as the cause of intermittent abdominal pain

Mesenteric lipoma as the cause of intermittent abdominal pain

Atypical Giant Lipoma in the Left Lower Abdomen: A Case Study

Lipoma; A Common Neoplasm

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