ABSTRACT
Lipoma is a benign soft tissue tumour. It is a benign proliferation of mature adipocytes. It is described as giant when its weight exceeds 1 kg or its diameter exceeds 5 cm. Functional and aesthetic impairment may be a major reason for surgical excision. It can be located everywhere, but it mainly occurs in the posterior segment of the chest. We here report a case of giant lipoma of the left posterior-superior segment of the chest.
Subject(s)
Lipoma , Soft Tissue Neoplasms , Humans , Hypesthesia , Lipoma/diagnosis , Lipoma/surgery , Lipoma/pathologyABSTRACT
Superior mesenteric artery syndrome or Wilkie syndrome is due to the compression of the third duodenum between the superior mesenteric artery and the aorta. It causes acute or chronic upper bowel occlusion. Abdominal CT scan facilitates the diagnosis. Severe malnutrition is its main etiological factor. Medical treatment can be based on aspiration of gastric contents and parenteral nutrition. If this fails, surgery is necessary. We here report the case of a 46-year-old patient, with a history of smoking, presenting with profuse postprandial bile and food vomiting. He had had weight loss of 7% over a period of 6 months. Upper GI endoscopy revealed non-stenotic antro-pyloric tumour mass. Histological examination showed poorly differentiated tubular gastric adenocarcinoma. Staging was without any peculiarity and allowed for the detection of superior mesenteric artery syndrome at an angle of 8°C. The patient received parenteral nutrition for 10 days, followed by inferior pole gastrectomy and gastrojejunal anastomosis (omega loop). The postoperative course was uneventful. Adjuvant chemotherapy was indicated.
Subject(s)
Duodenal Obstruction , Stomach Neoplasms , Superior Mesenteric Artery Syndrome , Male , Humans , Middle Aged , Superior Mesenteric Artery Syndrome/diagnosis , Superior Mesenteric Artery Syndrome/therapy , Superior Mesenteric Artery Syndrome/etiology , Stomach Neoplasms/complications , Stomach Neoplasms/diagnosis , Stomach Neoplasms/therapy , Duodenum , Tomography, X-Ray ComputedABSTRACT
INTRODUCTION: Cystic lymphangioma is a benign malformative tumor. The abdominal localization is rare. The diagnosis is not easy in preoperative period. The surgery is the choice in the abdominal and symptomatic localization. PRESENTATION OF CASE: We report a 26 years old women. She consulted with left hypochondrial pain. The exam found left hyphochondrial swelling with 10â¯cm of diameter. The biologic screeming was normal. The ultrasound showed a multiloculated cyst which measured 130*80â¯mm. the CT scan showed a mesenteri cyst mass measured 15â¯cm. A fine needle aspiration cytology guided by abdominal ultrasound was realized and the cytology doesn't show malignant cell. A median laparotomy found a mesenteric cystic mass measured 15â¯cm of diameter. A resection was realized. The histologic exam membranous fibrosis cyst limited by an endothelium. CONCLUSION: Mesenteric localization of cyst lymphagioma is rare. The surgery is safe and efficiency for the treatment.
