Bangeas P, Bitzika S, Loufopoulos P, Drevelegkas K, Papadopoulos V N
1st University Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki 541 24, Greece.
Radiology Department, General Clinic of Thessaloniki PC 54622, Thessaloniki 546 45, Greece.
J Surg Case Rep. 2020 Oct 31;2020(10):rjaa391. doi: 10.1093/jscr/rjaa391. eCollection 2020 Oct.
Lipomas of the ligamentum teres hepatis are extremely uncommon. There have been only a few cases reported in the literature, including lipomas of the falciform ligament of the liver. Here we report a case of torsion and infarction of a lipoma of the ligamentum teres hepatis in a 43-year-old female patient, who presented with acute epigastric pain, nausea and vomiting. Diagnosis was based on computed tomography and magnetic resonance imaging. Patient underwent exploratory laparoscopy followed by laparoscopic excision of the infracted lipoma. Finally, we also provide a mini-review of the literature in order to highlight that although rare, this pathology should be included in the differential diagnosis of acute abdomen.
肝圆韧带脂肪瘤极为罕见。文献中仅报道过少数病例，包括肝镰状韧带脂肪瘤。在此，我们报告一例43岁女性患者的肝圆韧带脂肪瘤扭转并梗死病例，该患者表现为急性上腹部疼痛、恶心和呕吐。诊断基于计算机断层扫描和磁共振成像。患者接受了 exploratory laparoscopy（此英文术语有误，推测可能是“exploratory laparotomy”，即剖腹探查术），随后通过腹腔镜切除梗死的脂肪瘤。最后，我们还对文献进行了简要综述，以强调尽管这种病理情况罕见，但在急腹症的鉴别诊断中应予以考虑。
