TY - JOUR
AR - SCR-2023-6-103
TI - Symptomatic Preperitoneal Lipoma Resected via Preperitoneal Approach: A Case Report and Review of the Literature
AU - Willem, Pype
AU - Rajesh, Sisodiya
AU - Sebastiaan Van, Cauwenberge
JO - Surgical Case Reports
PY - 2023
DA - Mon 15, Jan 2024
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2023.06.03
UR - https://www.sciencerepository.org/symptomatic-preperitoneal-lipoma-resected_SCR-2023-6-103 
KW - Preperitoneal lipoma, minimally invasive technique, laparoscopic surgical resection
AB - Introduction: Lipomas are benign adipose tissue tumors that can vary in size and location. Magnetic resonance images should be obtained for all soft-tissue masses that are deep to fascia or those >5 cm in subcutaneous tissue. In this case report, we present a minimal invasive technique to resect a large preperitoneal lipoma.
Case Presentation: A 36-year-old woman presenting with left fossa pain caused by a large mass. MRI-imaging shows a large preperitoneal lipomatous lesion (61 × 58 × 40 mm) which compresses the bladder, tuba and surrounding vessels. We did a minimally invasive preperitoneal laparoscopic surgical resection. Postoperative follow-up was uneventful. The pathology report confirmed benign lipoma without signs of malignancy.
Discussion: Preperitoneal lipomas should be considered in the diagnosis of lower abdominal pain and can be minimally invasive resected via preperitoneal laparoscopic approach in day clinic.