Abstract
A giant adipose mass in the great omentum with a pathology of partial lipodystrophy was radically cured by surgery, and a sutyd on it was performed.
A 4-year-old boy had had no problems at delivery or in infancy. However, from about one and half years of age, his development began to slow down. A gradual decrease in meal volume, an advance in oligotrophy and marked wasting of the limb were observed. Therefore, various examinations were performed. CT revealed abnormal accumulation of adipose tissue intraperitoneally and laporotomy was applied. As a result, an adipose tumor was confirmed in the greater omentum. The adipose tumor was perfectly extirpated. It weighed 1.6kg, 14.3% of the body weight. Pathohistological examination showed a collection of benign lipomas. After the operation, with an increase in diet, rapid growth for a short period and development of subcutaneous fat were achieved. Three years after the operation, his course is satisfactory and there has been no recurrence.
This report on such a tumor in the greater omentum may be the first in this country. This tumor was named omental lipomatosis because of the occurrence of more than 100 lipomas in the greater omentum.
