News Release

Large abdominal wall lipoma causes bowel obstruction

Peer-Reviewed Publication

World Journal of Gastroenterology

Proteus syndrome is a complex disorder associated with varied, disproportionate, asymmetric overgrowth of many body parts and unregulated adipose tissue. The overgrowth seen in Proteus syndrome is progressive and difficult to manage. Patients with Proteus syndrome require repeated treatment for the progressive overgrowth of tissue over a long period. Aggressive treatment may cause severe functional and cosmetic consequences, so surgical intervention is often delayed until it is absolutely necessary.

This report written by Yoshifumi Nakayama from Japan presents a surgical case of a large lipoma in the abdominal wall of a patient with Proteus syndrome. Their article is to be published on July, 14 2009 in the World Journal of Gastroenterology. On physical examination, a large mass with unclear margins was found in the left lower quadrant of her abdominal wall. A plain abdominal X-ray examination indicated scoliosis and deformity of the pelvic bone. Colon gas in the left colon shifted to the right upper side. Computed tomography (CT) of the abdomen demonstrated a large mass in the subcutaneous adipose tissue at the left lower abdominal wall.

In the current case, the patient was diagnosed with Proteus syndrome based on certain diagnostic criteria and underwent an excision. The postoperative course was uneventful, the encasement of the left colon was improved, and she left the hospital on the 15th postoperative day. At present, she continues to receive medical treatment on an outpatient basis. Postoperatively, bowel movement occurred twice a day.

###

Reference: Nakayama Y, Kusuda S, Nagata N, Yamaguchi K. Excision of a large abdominal wall lipoma improved bowel passage in a Proteus syndrome patient. World J Gastroenterol 2009; 15(26): 3312-3314 http://www.wjgnet.com/1007-9327/15/3312.asp

Correspondence to: Yoshifumi Nakayama, MD, PhD, Department of Surgery 1, University of Occupational Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu 807-8555, Japan. nakayama@med.uoeh-u.ac.jp

About World Journal of Gastroenterology

World Journal of Gastroenterology (WJG), a leading international journal in gastroenterology and hepatology, has established a reputation for publishing first class research on esophageal cancer, gastric cancer, liver cancer, viral hepatitis, colorectal cancer, and H pylori infection and provides a forum for both clinicians and scientists. WJG has been indexed and abstracted in Current Contents/Clinical Medicine, Science Citation Index Expanded (also known as SciSearch) and Journal Citation Reports/Science Edition, Index Medicus, MEDLINE and PubMed, Chemical Abstracts, EMBASE/Excerpta Medica, Abstracts Journals, Nature Clinical Practice Gastroenterology and Hepatology, CAB Abstracts and Global Health. ISI JCR 2008 IF: 2.081. WJG is a weekly journal published by WJG Press. The publication dates are the 7th, 14th, 21st, and 28th day of every month. WJG is supported by The National Natural Science Foundation of China, No. 30224801 and No. 30424812, and was founded with the name of China National Journal of New Gastroenterology on October 1, 1995, and renamed WJG on January 25, 1998.

About The WJG Press

The WJG Press mainly publishes World Journal of Gastroenterology.


Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.