Table 1: A summary of case reports on lipoma involving the parietal peritoneum.

s/n

Author / year

Age / gender

Presenting feature

Possible /stated Risk factor

Initial diagnosis

Intra-op findings

Procedure

(size)

Reported largest size (& weight) of lesion

LOS

(days)

Histology

Follow up

1

Barut [4] / 2006

67y / F

Acute abdominal pain x 4/7

Obesity

NS

Thin-walled soft yellow mass from the parietal peritoneum onto the median umbilical ligament

Complete excision via laparotomy

6cm (NS)

2

Lipoma

1yr

2

Bunker [5] / 2013

34y / F

Right iliac fossa pain x 3/7

NS

-Appendicitis

-Ovarian pathology

-Renal colic

Torted, pedunculated, parietal wall lipoma in the right iliac fossa + acute hemorrhage; normal appendix

Laparosocpic excision +

Appendicectomy

NS (NS)

1

NS

NS

3

Shrestha [6] / 2014

32y / M

Right iliac fossa pain x 1/7

NS

Acute Appendicitis

Torted, pedunculated lipoma, 3cm in size on the right lower parietal peritoneum

Laparosocpic excision +

Appendicectomy

3cm (NS)

3

Lobulated adipose tissue

Lympoid hyperplasia of appendix

NS

4

Sathyakrishna [7] / 2014

21y / F

Right lower abdominal pain x 1/12

NS

-Appendicitis

-Ovarian pathology

-Renal colic

A torted, pedunculated lipoma in the right lower quadrant of the anterior abdominal wall

Laparoscopic resection

NS (NS)

1

Infarcted lipoma

NS

5

Bang [8] / 2014

75y / M

Right lower abdominal pain x 1/52, post right hemicolectomy

Operative trauma / intra-op adipose tissue seeding/ high BMI

-Epiploic appendagitis

-Dermoid

-Lipoma

-Liposarcoma

Large, soft, right lower abdominal wall mass; small bowel adhesion

Complete excision + adhesiolysis via laparotomy

6.5cm (NS)

NS

Lipoma

>1yr

6

Salgaonkar [9] / 2016

79y / M

Left lower abdominal pain x 8/12

NS

NS

Large lipomatous lesion apparently arising in the extraperitoneal layer in the left iliac fossa

Complete Laparosocpic excision + cholecystetcomy

6.3cm (NS)

1

Lipoma

 

Chronic cholecystitis

1yr

7

Özemir [10] / 2016

35y /F

Right lower quadrant abdominal pain x 2/7

NS

Acute appendicitis

Pre-peritoneal, torsed and gangreneous lipoma in the right lower quadrant with 40ml of reactive pericecal fluid

Laparoscopic excision

4cm (NS)

2

Lipoma

NS

8

Choi [11] / 2018

36 / M

Urinary frequency x 6/12

NS

NS

A huge, mobile, soft mass in the external peritoneal layer of the lower abdomen

Laparoscopic excision with preservation of parietal peritoneum

22cm (942g)

6

Lipoma

NS

9

Present case

44 / F

Painless Abdominal swelling x 5/12

Not known

Ileocecal tumor

A giant, pedunculated pre-peritoneal mass attached to the midline; had soft and firm areas and weighed 1,520g

Complete excision

20.8cm (1,520g)

4

Lipoma

6mo

LOS: Length of Hospital Stay; NS: Not Stated.