Infarcted ligamentum teres hepatis lipoma mimicking acute abdomen in a female patient: a case report and mini-review of the literature

P Bangeas; S Bitzika; P Loufopoulos; K Drevelegkas; V N Papadopoulos

doi:10.1093/jscr/rjaa391

Infarcted ligamentum teres hepatis lipoma mimicking acute abdomen in a female patient: a case report and mini-review of the literature

J Surg Case Rep. 2020 Oct 31;2020(10):rjaa391. doi: 10.1093/jscr/rjaa391. eCollection 2020 Oct.

Authors

P Bangeas¹, S Bitzika¹, P Loufopoulos¹, K Drevelegkas², V N Papadopoulos¹

Affiliations

¹ 1st University Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki 541 24, Greece.
² Radiology Department, General Clinic of Thessaloniki PC 54622, Thessaloniki 546 45, Greece.

Abstract

Lipomas of the ligamentum teres hepatis are extremely uncommon. There have been only a few cases reported in the literature, including lipomas of the falciform ligament of the liver. Here we report a case of torsion and infarction of a lipoma of the ligamentum teres hepatis in a 43-year-old female patient, who presented with acute epigastric pain, nausea and vomiting. Diagnosis was based on computed tomography and magnetic resonance imaging. Patient underwent exploratory laparoscopy followed by laparoscopic excision of the infracted lipoma. Finally, we also provide a mini-review of the literature in order to highlight that although rare, this pathology should be included in the differential diagnosis of acute abdomen.

Publication types

Case Reports