Giant omental lipoma arising from broad ligament mimicking as adnexal mass: a diagnostic dilemma

Lipoma is a benign mesenchymal tumor composed of adipose tissue encapsulated by connective tissue. Omental lipoma can cause large intra-abdominal mass which itself a rare finding (Li JXJ, Giddings HL, Owen G. Omental lipoma: a rare cause of a giant intra-abdominal mass. <i>J Surg Case Rep</i> 2022;<b>2022</b>:rjac160. 10.1093/jscr/rjac160). It can be present as mass in area around ovaries and fallopian tube mimicking adnexal mass. We hereby describe a case of a 40-year female who presents as non-specific abdominal pain, sensation of heaviness in pelvic region, and increase frequency of micturition, with further imaging, modality omental lipoma was encountered, exploratory laparotomy mass arising from broad ligament and complete excision was performed. Further confirmed by histopathology examination.

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Publication Details

Journal
Journal of Surgical Case Reports
Published
2025-05-31
DOI
https://doi.org/10.1093/jscr/rjaf450
Primary Topic
Omental and Epiploic Conditions
Type
article
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article

Giant omental lipoma arising from broad ligament mimicking as adnexal mass: a diagnostic dilemma

N. Joshi, Nirajan Subedi
2 links
Journal of Surgical Case Reports
Omental and Epiploic Conditions
article

Giant omental lipoma arising from broad ligament mimicking as adnexal mass: a diagnostic dilemma

N. Joshi, Nirajan Subedi
article en

Abstract

Lipoma is a benign mesenchymal tumor composed of adipose tissue encapsulated by connective tissue. Omental lipoma can cause large intra-abdominal mass which itself a rare finding (Li JXJ, Giddings HL, Owen G. Omental lipoma: a rare cause of a giant intra-abdominal mass. <i>J Surg Case Rep</i> 2022;<b>2022</b>:rjac160. 10.1093/jscr/rjac160). It can be present as mass in area around ovaries and fallopian tube mimicking adnexal mass. We hereby describe a case of a 40-year female who presents as non-specific abdominal pain, sensation of heaviness in pelvic region, and increase frequency of micturition, with further imaging, modality omental lipoma was encountered, exploratory laparotomy mass arising from broad ligament and complete excision was performed. Further confirmed by histopathology examination.

Journal of Surgical Case ReportsVol. 2025(6)
Bir Hospital (NP), Kathmandu University (NP)
Good health and well-being
Openalex Percentile: Top 75%
Omental and Epiploic Conditions
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