An abdominal giant lipoma that was surgically resected: case report

Complete surgical excision remains the treatment of choice for giant retroperitoneal lipomas. Early imaging [CT/magnetic resonance imaging (MRI)] and differentiation from malignancies are critical. This case, representing one of the heaviest reported retroperitoneal lipomas (4.86 kg), demonstrates that curative resection is feasible for massive symptomatic masses, and contributes technical and outcome data to the limited literature on giant abdominal lipomas. It underscores the importance of long-term follow-up to monitor recurrence.