BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5638
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Natural history of a giant abdominal lipoma

  1. Marina P Okoshi1
  1. 1Department of Internal Medicine, Botucatu Medical School, UNESP, Botucatu, Sao Paulo, Brazil
  2. 2Department of Radiology, Botucatu Medical School, UNESP, Botucatu, Sao Paulo, Brazil
  1. Correspondence to Dr Marina P Okoshi, mpoliti{at}


A 79-year-old woman was hospitalised for ischaemic stroke. She had 20 years history of a progressive abdominal enlargement. Ten years earlier abdominal CT had shown a giant abdominal lipoma. At that time she declined surgery. Physical examination revealed aphasia, right hemiparesis and massively enlarged abdominal volume (figure 1). Ischaemic stroke was diagnosed and confirmed by cranial CT. A new abdominal CT (figure 2) with patient …

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