Critical stab injury due to anatomical variation caused by retroperitoneal lipoblastoma: A case report

Abstract

Lipoblastoma and lipoblastomatosis are rare soft tissue neoplasms that are derived from fetal adipose tissue and that are seen in infants and young children. They transform into mature lipomas as the patients age. We present a 23 years old male patient stabbed from left abdominal flank and had a lipoid lesion on the right side of retroperitoneum. Due to malposition of intraabdominal organs in the stabbing site, patient had various vascular and serosal injuries as well as intestinal perforations. 

Keywords

• Lipoblastoma,Stab wound,Computed tomography

Retroperitoneal lipoblastomanın neden olduğu anatomik varyasyona bağlı kritik bıçakla yaralanma: Olgu sunumu

Öz

Lipoblastoma ve lipoblastomatozis, fetal yağ dokudan köken alan nadir yumuşak doku neoplazileri olup süt çocuklarında ve küçük çocuklarda görülür. Hasta yaşı ilerledikçe matür lipomlara dönüşürler. Retroperiton sağ yarısında lipoid lezyona sahip karın sol yandan bıçaklanan 23 yaşındaki erkek hastayı sunduk. Bıçaklanma düzeyindeki intraabdominal organların malpozisyonu nedeni ile hastada, vasküler ve serozal yaralanmaların yanı sıra intestinal perforasyon mevcut idi.

Anahtar Kelimeler

• Lipoblastoma,Delici kesici alet yarası,Bilgisayarlı tomografi

References

1. 1. Craig WD, Fanburg-Smith JC, Henry LR, Guerrero R, Barton JH. Fat-containing lesions of the retroperitoneum: radiologic-pathologic correlation. Radiographics. 2009;29:261–90.
2. 2. Genchellac H, Demir MK, Ozdemir H, Unlu E, Temizoz O. Computed tomographic and magnetic resonance imaging findings of asymptomatic intra-abdominal gastrointestinal system lipomas. J Comput Assist Tomogr. 2008;32:841–7.
3. 3. Moerman P, Fryns JP, Goddeeris P, Lauweryns JM. Pathogenesis of the prune-belly syndrome: a functional urethral obstruction caused by prostatic hypoplasia. Pediatrics. 1984;73:470–5.
4. 4. Biffl WL, Leppaniemi A. Management guidelines for penetrating abdominal trauma. World J Surg. 2015;39:1373–80.
5. 5. Inaba K, Okoye OT, Rosenheck R, Melo N, Branco BC, Talving P, et al. Prospective evaluation of the role of computed tomography in the assessment of abdominalstab wounds. JAMA Surg. 2013;148:810–6.