Primary omental liposarcoma is a rare clinical entity with less
than 20 cases being reported in the literature. Laparotomy has
been the traditional approach for resection, with no reports of
laparoscopic resection. A 39-year-old lady presented at the
Sarawak General Hospital, Kuching, Malaysia with a history
of a progressive, painless left upper quadrant abdominal
swelling for a year. CT scan showed a well-defined
heterogeneously enhancing cystic mass measuring
7.5x7.5x8.1cm with a poor plane with the adjacent greater
curvature of stomach and transverse colon. Upper and lower
endoscopy was normal. The tumour was completely dissected
from the adjacent transverse colon and removed
laparoscopically. Histopathological examination of the resected
specimen revealed a myxoid liposarcoma. She had an
uneventful recovery and was discharged well on the third postoperative day. She subsequently underwent adjuvant
chemotherapy and was well at 1-year follow-up with PET CT
showing no evidence of recurrence or metastases.