Laparoscopic resection of a dumbbell-shaped lipoma extending through the obturator foramen: A case report.
laparoscopic surgery
lateral lymph node dissection
lipoma
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
02
01
2019
revised:
12
02
2019
accepted:
14
02
2019
pubmed:
21
3
2019
medline:
6
10
2020
entrez:
21
3
2019
Statut:
ppublish
Résumé
Lipomas are often lightweight and small in size with few subjective symptoms. Giant lipomas are uncommon. We herein report a case involving a giant, deep-seated dumbbell-shaped intermuscular lipoma in the right thigh that extended into the pelvic region through the obturator foramen and caused obturator neuropathy. A 64-year-old man with numbness while walking was diagnosed with a 17 × 16-cm lipomatous tumor. He underwent radical surgery performed by a multidisciplinary team consisting of orthopedic and colorectal surgeons. High-definition magnified laparoscopic images of the deep pelvis confirmed that tumor had infiltrated the obturator nerve. The tumor was completely resected with the obturator nerve. Six months after surgical resection, the patient had no gait disturbance or evidence of recurrence. The laparoscopic approach for this kind of complicated deep pelvic surgery was safe and feasible when performed by colorectal surgeon with ample knowledge of the pelvic anatomy.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
114-116Informations de copyright
© 2019 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.
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