Ponad 7000 publikacji medycznych!
Statystyki za 2021 rok:
odsłony: 8 805 378
Artykuły w Czytelni Medycznej o SARS-CoV-2/Covid-19

Poniżej zamieściliśmy fragment artykułu. Informacja nt. dostępu do pełnej treści artykułu tutaj
© Borgis - New Medicine 2/2013, s. 44-46
*Konrad Wroński1, 2
Surgical treatment giant spermatic cord lipoma – case report
1Department of Oncology, Faculty of Medicine, University of Warmia and Mazury in Olsztyn, Poland
Head of Department: prof. Sergiusz Nawrocki, MD, PhD
2Department of Surgical Oncology, Hospital Ministry of Internal Affairs with Warmia and Mazury Oncology Centre, Olsztyn, Poland
Head of Department: Andrzej Lachowski, MD
Summary
Lipoma is the most common benign neoplasm in the human body but frequent under-diagnosed and ignored due to its benign character. The term “giant lipoma” is used for tumors whose size exceeds 10 cm. The author present the rare case of a giant spermatic cord lipoma that was referred as a right inguinal hernia.
INTRODUCTION
Lipoma is the most common benign neoplasm in the human body which develops from the adipose tissue. These tumors are under-diagnosed and ignored by doctors because its benign character. Lipomas are the most frequent found in middle age and in the male population. Many lipomas are small with diameters of about 1-3 cm. The term “giant lipoma” is used for tumors whose size exceeds 10 cm.
The author of this article report the rare case of a giant spermatic cord lipoma that was referred as a right inguinal hernia and found in PubMed Database several articles relating to that described problem (1, 2).
CASE REPORT
A 52-year-old white man referred to the department due to a giant tumor on the right side of the inguinal area. The tumor had been steadily increased in size from 43 months. The patient has reported pain in this region. He had no any other symptoms, such as bowel- or urinary-altered habitus, previous surgeries, previous hospital admission or drug abuse.
On physical examination, in the right inguinal area a giant tumor was palpable. The size of the tumor during examination was 14 x 8 cm (fig. 1). Testicles were painless and normal in size and consistency. The abdominal examination was also normal.
Fig. 1. Voluminous of the lipoma mass in the right inguinal region.
An ultrasound was performed at another hospital. In the ultrasound examination there was described a tumor which probably corresponds to the hernia in which a part of a omentum major and a part of bowel intestine is located. There was unable to view images from this examination.
The patient was taken to the operating room for a standard Lichtenstein hernia repair due to right inguinal hernia (fig. 2, 3). During surgical exploration of the inguinal area, there was no hernia but there was diagnosed a giant lipoma of the spermatic cord measuring 15 cm × 9 cm × 7 cm (fig. 4).
Fig. 2. Giant lipoma delivered from the inguinal region.
Fig. 3. Lipomatous mass.
Fig. 4. The macroscopic appearance of an encapsulated fat tissue neoplasm.

Powyżej zamieściliśmy fragment artykułu, do którego możesz uzyskać pełny dostęp.
Mam kod dostępu
  • Aby uzyskać płatny dostęp do pełnej treści powyższego artykułu albo wszystkich artykułów (w zależności od wybranej opcji), należy wprowadzić kod.
  • Wprowadzając kod, akceptują Państwo treść Regulaminu oraz potwierdzają zapoznanie się z nim.
  • Aby kupić kod proszę skorzystać z jednej z poniższych opcji.

Opcja #1

19

Wybieram
  • dostęp do tego artykułu
  • dostęp na 7 dni

uzyskany kod musi być wprowadzony na stronie artykułu, do którego został wykupiony

Opcja #2

49

Wybieram
  • dostęp do tego i pozostałych ponad 7000 artykułów
  • dostęp na 30 dni
  • najpopularniejsza opcja

Opcja #3

119

Wybieram
  • dostęp do tego i pozostałych ponad 7000 artykułów
  • dostęp na 90 dni
  • oszczędzasz 28 zł
Piśmiennictwo
1. Kaohsiung J: Giant lipoma of spermatic cord mimics irreducible inguinal hernia. Case report. Med Sc 2004; 20: 247-249. 2. Edelstein RA: Giant spermatic cord lipoma. The Scientific World Journal 2009; 9: 1194-1196. 3. Carrion Lopez P, Pastor Navarro H, Martinez Ruiz J et al.: Spermatic cord sarcomas: current status and report of four cases. Arch Esp Urol 2009; 62: 242-246. 4. Rodriguez Toves LA, Estebanez Zarranz J, Camacho Parejo J et al.: Paratesticular lipoma. Actas Urol Esp 1997; 21: 620-622. 5. Gersin KS, Heniford BT, Gracia-Ruiz A, Ponsky JL: Missed lipoma of the spermatic cord: a pitfall of transabdominal preperitoneal laparoscopic hernia repair. Surg Endosc 1999; 13: 585-587. 6. Tobin CE, Benjamin JA, Wells JC: Continuity of the fasciae lining the abdomen, pelvis and spermatic cord. Surg Gynecol Obst 1946; 83: 575-595. 7. Read RC, Schaefer RF: Lipoma of the spermatic cord, fatty herniation, liposarcoma. Hernia 2000; 4(3): 149-154. 8. Lan H, Loong F, Yuen WK, Patil NG: Management of herniated retroperitoneal adipose tissue during endoscopic extraperitoneal inguinal hernioplasty. Surg Endosc 2007; 21(9): 1612-1616. 9. Nasr AO, Tormey S, Walsh TN: Lipoma of the cord and round ligament: an overlooked diagnosis? Hernia 2005; 9: 245-247.
otrzymano: 2013-03-26
zaakceptowano do druku: 2013-05-06

Adres do korespondencji:
*Konrad Wroński
Department of Surgical Oncology, Faculty of Medicine University of Warmia and Mazury in Olsztyn
37 Wojska Polskiego St., 10-228 Olsztyn
tel.: +48 505-818-126
e-mail: konradwronski@wp.pl

New Medicine 2/2013
Strona internetowa czasopisma New Medicine