Barauskas Vidmantas, Malcius Dalius, Jazdauskiene Violeta
Department of Pediatric Surgery, Kaunas University of Medicine Hospital, Eiveniu 2, Kaunas 50010, Lithuania.
Medicina (Kaunas). 2004;40(9):860-3.
Lipoma of the greater omentum is observed very rarely, particularly in the childhood. We report a case of large 10x11x8 cm asymptomatic lipoma of the greater omentum, which was diagnosed incidentally. Well-encapsulated mass with a homogeneous internal structure and high echogenicity--these signs of ultrasound and computed tomography allowed us to suggest a lipoma. At laparotomy lipoma of greater omentum in torsion was found. The excision of the tumor and omentectomy was performed. The histopathological diagnosis was lipoma with focal necrosis areas.
大网膜脂肪瘤非常罕见,尤其是在儿童期。我们报告一例偶然诊断出的10×11×8cm的大网膜无症状脂肪瘤。边界清晰、内部结构均匀且高回声的肿块——这些超声和计算机断层扫描表现使我们考虑为脂肪瘤。剖腹手术时发现大网膜脂肪瘤发生扭转。遂行肿瘤切除及网膜切除术。组织病理学诊断为伴有局灶性坏死区域的脂肪瘤。