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Excision of a large abdominal wall lipoma improved bowel passage in a Proteus syndrome patient.
[proteus syndrome]
Proteus
syndrome
is
an
extremely
rare
congenital
disorder
that
produces
multifocal
overgrowth
of
tissue
.
This
report
presents
a
surgical
case
of
a
large
lipoma
in
the
abdominal
wall
of
a
patient
with
Proteus
syndrome
.
She
was
diagnosed
with
Proteus
syndrome
based
on
certain
diagnostic
criteria
.
The
neoplasm
increased
in
size
gradually
,
producing
hemihypertrophy
of
her
left
lower
extremity
and
trunk
,
and
spread
to
her
retroperitoneum
and
her
left
abdominal
wall
.
She
experienced
gradually
progressive
constipation
,
nausea
,
vomiting
,
and
abdominal
pain
.
Computed
tomography
(
CT
)
of
the
abdomen
demonstrated
a
large
mass
in
the
subcutaneous
adipose
tissue
of
the
left
lower
abdominal
wall
which
measured
12
cm
x
8
cm
x
6
cm
in
diameter
and
encased
the
left
colon
.
This
mass
in
the
abdominal
wall
was
excised
.
The
weight
of
the
excised
mass
was
1550
g
.
The
histopathological
diagnosis
of
this
mass
was
lipoma
.
After
surgery
,
the
encasement
of
the
left
colon
was
improved
,
and
the
patient
was
able
to
move
her
bowels
twice
per
day
.
The
excision
of
the
large
lipoma
in
the
abdominal
wall
contributed
to
the
improved
bowel
passage
in
this
patient
with
Proteus
syndrome
.
Diseases
Validation
Diseases presenting
"neoplasm"
symptom
adrenal incidentaloma
alexander disease
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial hypocalciuric hypercalcemia
focal myositis
hodgkin lymphoma, classical
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
liposarcoma
lymphangioleiomyomatosis
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
This symptom has already been validated