scholarly journals A Case of Solitary Fibrous Tumor from the Greater Omentum Presenting with Severe Abdominal Pain Caused by Torsion

2019 ◽  
Vol 52 (5) ◽  
pp. 263-271
Author(s):  
Yumi Suzuki ◽  
Kiyoshi Hiramatsu ◽  
Takeshi Amemiya ◽  
Takashi Seki ◽  
Toshiyuki Arai
Author(s):  
Huikang Yin ◽  
Daixi Ye ◽  
Yechen Zhu ◽  
Chengjun Geng

Background: We report a case of a 23-year-old man with a solitary fibrous tumor of the great omentum who presented clinically as a case of dull abdominal pain. Case Presentation: Solitary fibrous tumor normally occurs in the visceral pleura. Extrathoracic solitary fibrous tumor is rare, especially those from the great omentum, with approximately 31 cases reported in the literature. Conclusion: After reviewing and summarizing the imaging findings of 31 cases of solitary fibrous tumor of the greater omentum, we considered that the characteristic findings can provide a reliable basis for preoperative diagnosis.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Karim M. Eltawil ◽  
Carly Whalen ◽  
Bryce Knapp

Abstract Background Solitary fibrous tumor (SFT) is a rare neoplasm of mesenchymal origin occurring most often in the visceral pleura, however, it has been described in almost every anatomic location of the human body. While most SFTs have a benign behavior, they can potentially be locally aggressive and demonstrate a malignant behavior. Case presentation A 63 year-old male patient presented with lower abdominal pain and nausea and was noted on CT to have a large, heterogeneous lower abdominal mass with no evidence of metastatic disease. A surgical resection was performed and the mass appeared to be connected to the greater omentum with a vascular pedicle. It was not invading any intra-abdominal or pelvic organs. Pathology revealed an SFT of omental origin. The mitotic count was less than 4 per 10 high-power fields and all pathologic characteristics did not meet the criteria for a malignant SFT. Conclusions We report an extremely rare case of SFT originating from the greater omentum. A multidisciplinary team approach was followed to plan the patient’s management strategy.


2016 ◽  
Vol 17 ◽  
pp. 16-19 ◽  
Author(s):  
Elisabet Rodriguez Tarrega ◽  
Juan Jose Hidalgo Mora ◽  
Vicente Paya Amate ◽  
Olivia Vega Oomen

2016 ◽  
Vol 9 (4) ◽  
Author(s):  
Salem A ◽  
Madden M ◽  
Bateson P

A 60-year old man presented with a one week history of intermittent periumbilical pain. He had weight loss of half a stone over 6 weeks and abdominal distension for 2 weeks, there was no other systemic complaint. General examination revealed bilateral Dupuytren`s contracture and grade 4 finger clubbing. Abdominal palpation revealed a very large non tender mass. The Liver and spleen were difficult to assess because of the size of the mass. Rectal examination was normal. An abdominal Ultrasound showed a central abdominal mass of mixed echogenicity. CT scan showed a large lobulated mass with overlying serpinginous vessels with a clear plane posteriorly separating it from the retro-peritoneum. Liver, spleen and pancreas showed no abnormality. CT scan of the chest showed no abnormality. Core biopsy under ultrasound guidance revealed features consistent with a solitary fibrous tumor, haemangiopericytoma or angiosarcoma. The patient underwent a midline laparotomy. The huge mass was attached to the greater omentum by a pedicle with minimal adhesions to the lateral peritoneum. It was excised compeletly. The post-operative course was uneventful. Gross pathological findings macroscopically revealed the mass measuring 24x19x10 cm, weighing 3870 grams and on section it was a fleshy lobulated tumour with a few cystic areas. There was some attenuated fat on part of the surface. Histologically, the architecture was pattern-less with prominent stromal hyalinization, varying cellularity (mainly spindle and ovoid cells) and branching (haemangiopericytoma-like) vessels.


2016 ◽  
Vol 23 ◽  
pp. 160-162 ◽  
Author(s):  
Rami Archid ◽  
Carl Christoph Schneider ◽  
Patrick Adam ◽  
Ahmed Othman ◽  
Derek Zieker ◽  
...  

2021 ◽  
Vol 9 (2) ◽  
pp. 445-456
Author(s):  
Yu-Chen Guo ◽  
Li-Yu Yao ◽  
Zhi-Sen Tian ◽  
Bing Shi ◽  
Ying Liu ◽  
...  

2015 ◽  
Vol 96 (9) ◽  
pp. 959-961 ◽  
Author(s):  
J. Cazejust ◽  
D. Wendum ◽  
A. Bourrier ◽  
N. Chafai ◽  
Y. Menu

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Caroline Maccallum ◽  
Sarah Eaton ◽  
Daniel Chubb ◽  
Stephen Franzi

Torsion of the fatty appendage of the falciform ligament is an extremely rare condition that leads to severe abdominal pain and raised inflammatory markers. It can be recognised on ultrasound or CT scan. The pathophysiology is the same as that involved in the more common torsion and/or infarction of the greater omentum or epiploic appendages. The condition is best managed conservatively with anti-inflammatory analgesia, and the early recognition of this type of torsion may prevent unnecessary operative intervention to look for a source of abdominal pain. There have been five reported adult cases of a torted fatty appendage of the falciform ligament identified on ultrasound and CT scan, but no paediatric cases. We report a case of torsion of the fatty appendage of the falciform ligament in a ten-year-old boy and describe its imaging characteristics on CT scan.


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