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DOI: 10.1055/s-2004-812838
A Dermoid Cyst in the Greater Omentum as a Rare Epigastric Tumor
Eine Dermoidzyste im Omentum majus als seltener OberbauchtumorPublication History
Manuscript received: 28. April 03
Accepted after revision: 14. August 03
Publication Date:
13 February 2004 (online)
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Zusammenfassung
Eine 36-jährige Patientin stellte sich mit unspezifischen epigastrischen Beschwerden vor. Gewichtsverlust, Nachtschweiß oder Fieber lagen nicht vor. Bei der Ultraschalluntersuchung und nachfolgenden Computertomographie fand sich ein 9 cm großer, solider Tumor im linken Oberbauch ohne jegliche Beziehung zum Magen, Pankreas oder zur Milz. Die Laparoskopie zeigte eine Verbindung des Tumors zu Anteilen des Omentum majus. Nach laparoskopischer Resektion konnte die Patientin nach zwei Tagen wieder nach Hause entlassen werden. Die Histologie ergab den seltenen Befund einer Dermoidzyste. Differenzialdiagnostisch sollte eine mögliche maligne Entartung erwogen und der Tumor deshalb reseziert werden. Die Patientin ist seither beschwerde- und rezidivfrei.
Abstract
A 36-year-old female presented with unspecific epigastric discomfort, without weight loss, night sweat or fever. Ultrasound and computed tomography showed a solid tumor with a diameter of 9 cm in the left upper abdomen, without any connection to the stomach, the pancreas or spleen. Laparoscopy showed a connection to parts of the greater omentum. Two days after laparoscopic resection the patient was discharged from hospital. Histology revealed the rare diagnosis of a dermoid cyst. A possible malignant degeneration of the tumor has to be considered, and therefore the tumor should be resected. Since the operation the patient is asymptomatic and without tumor recurrence.
Schlüsselwörter
Dermoidzyste - Epigastrium - Omentum majus
Key words
Dermoid cyst - epigastrium - greater omentum
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Robert Pfitzmann, MD
Department of Surgery, Humboldt-University Berlin, Charité
Campus Virchow-Clinic
Augustenburger Platz 1
13353 Berlin
Germany
Email: robert.pfitzmann@charite.de