Diagnosis and Surgical Management of a Retroperitoneal Lipoma in Pregnancy
Retroperitoneal lipomas during pregnancy are very rare. We report a case of a 29-year-old pregnant female who presented with a retroperitoneal lipoma. Our patient presented at 15-week gestation with abdominal pain, distention, and orthopnea. Due to vague symptoms and nonspecific imaging capabilities...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/6309417 |
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| _version_ | 1832546962196398080 |
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| author | Katharina Mitchell Kylie Fuller Alan Thomay Robert Shapiro |
| author_facet | Katharina Mitchell Kylie Fuller Alan Thomay Robert Shapiro |
| author_sort | Katharina Mitchell |
| collection | DOAJ |
| description | Retroperitoneal lipomas during pregnancy are very rare. We report a case of a 29-year-old pregnant female who presented with a retroperitoneal lipoma. Our patient presented at 15-week gestation with abdominal pain, distention, and orthopnea. Due to vague symptoms and nonspecific imaging capabilities, retroperitoneal tumors in pregnancy are uniquely challenging with regard to diagnosis and treatment. We describe the unique work up of a retroperitoneal lipoma in pregnancy and the risks and benefits which were considered when optimizing care to the patient. Percutaneous core needle biopsy has accuracy rates for pathologic diagnosis of up to 98% and is largely safe to perform during pregnancy. Surgical resection of this type of tumor does not mandate cesarean delivery in subsequent pregnancies. |
| format | Article |
| id | doaj-art-9a8c119882dd49d9bb761cae03a61d36 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-9a8c119882dd49d9bb761cae03a61d362025-02-03T06:46:38ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/63094176309417Diagnosis and Surgical Management of a Retroperitoneal Lipoma in PregnancyKatharina Mitchell0Kylie Fuller1Alan Thomay2Robert Shapiro3West Virginia University Department of General Surgery and Obstetrics and Gynecology, Morgantown WV, USAWest Virginia University Department of General Surgery and Obstetrics and Gynecology, Morgantown WV, USAWest Virginia University Department of General Surgery and Obstetrics and Gynecology, Morgantown WV, USAWest Virginia University Department of General Surgery and Obstetrics and Gynecology, Morgantown WV, USARetroperitoneal lipomas during pregnancy are very rare. We report a case of a 29-year-old pregnant female who presented with a retroperitoneal lipoma. Our patient presented at 15-week gestation with abdominal pain, distention, and orthopnea. Due to vague symptoms and nonspecific imaging capabilities, retroperitoneal tumors in pregnancy are uniquely challenging with regard to diagnosis and treatment. We describe the unique work up of a retroperitoneal lipoma in pregnancy and the risks and benefits which were considered when optimizing care to the patient. Percutaneous core needle biopsy has accuracy rates for pathologic diagnosis of up to 98% and is largely safe to perform during pregnancy. Surgical resection of this type of tumor does not mandate cesarean delivery in subsequent pregnancies.http://dx.doi.org/10.1155/2020/6309417 |
| spellingShingle | Katharina Mitchell Kylie Fuller Alan Thomay Robert Shapiro Diagnosis and Surgical Management of a Retroperitoneal Lipoma in Pregnancy Case Reports in Obstetrics and Gynecology |
| title | Diagnosis and Surgical Management of a Retroperitoneal Lipoma in Pregnancy |
| title_full | Diagnosis and Surgical Management of a Retroperitoneal Lipoma in Pregnancy |
| title_fullStr | Diagnosis and Surgical Management of a Retroperitoneal Lipoma in Pregnancy |
| title_full_unstemmed | Diagnosis and Surgical Management of a Retroperitoneal Lipoma in Pregnancy |
| title_short | Diagnosis and Surgical Management of a Retroperitoneal Lipoma in Pregnancy |
| title_sort | diagnosis and surgical management of a retroperitoneal lipoma in pregnancy |
| url | http://dx.doi.org/10.1155/2020/6309417 |
| work_keys_str_mv | AT katharinamitchell diagnosisandsurgicalmanagementofaretroperitoneallipomainpregnancy AT kyliefuller diagnosisandsurgicalmanagementofaretroperitoneallipomainpregnancy AT alanthomay diagnosisandsurgicalmanagementofaretroperitoneallipomainpregnancy AT robertshapiro diagnosisandsurgicalmanagementofaretroperitoneallipomainpregnancy |