Alsharif Bayan, Mortada Hatan, Mandili Aeshah, Aljindan Fahad
College of Medicine, Umm Alqura University, Makkah, Saudi Arabia.
Department of Plastic Surgery & Burn Unit, King Saud Medical City, Riyadh, Saudi Arabia.
Case Rep Surg. 2020 Feb 11;2020:7875169. doi: 10.1155/2020/7875169. eCollection 2020.
. Giant lipomas, which are greater than 10 cm, are rare, cosmetically unacceptable, and deteriorate the quality of daily living. Removal of giant abdominal lipomas either by liposuction, excision, or both, can lead to the formation of a loose, pendulous drooping abdomen, and abdominal wall laxity, which is aesthetically displeasing. The objective of this case report is to highlight an easy approach to treat giant abdominal lipoma through therapeutic abdominoplasty. . In this case, a 29-year-old man with a known case of hypothyroidism and HCV was in remission but had a huge abdominal mass on his lower left side; it progressed for 7 years and increased in size and caused discomfort. His BMI was 29.53 and the mass measured about 15 × 13 cm. All other investigations were normal and showed no malignancies. He underwent excision of the giant abdominal lipoma using a standard abdominoplasty approach. . In conclusion, in selected patients, giant abdominal lipomas can be successfully excised along with the redundant abdominal skin.
大于10厘米的巨大脂肪瘤较为罕见,在美容方面难以接受,且会降低日常生活质量。通过抽脂、切除或两者结合的方式去除巨大腹部脂肪瘤,可能会导致腹部皮肤松弛下垂,腹壁松弛,在美学上令人不悦。本病例报告的目的是强调一种通过治疗性腹壁成形术治疗巨大腹部脂肪瘤的简便方法。在本病例中,一名患有甲状腺功能减退症和丙型肝炎的29岁男性病情缓解,但左下腹部有一个巨大肿块;该肿块已发展7年,大小不断增大并引起不适。他的体重指数为29.53,肿块大小约为15×13厘米。所有其他检查均正常,未发现恶性肿瘤。他采用标准腹壁成形术方法切除了巨大腹部脂肪瘤。总之,在特定患者中,巨大腹部脂肪瘤可以与多余的腹部皮肤一起成功切除。