A case of giant lipoma of medial compartment of thigh with extension to adductor canal

Abstract

Introduction: The deep intermuscular lipomas of medial or adductor compartment are very rare. Occasionally these lipomas can achieve a giant size. Case Report: We report a case of giant lipoma of adductor compartment of left thigh in a 50-year-old man. The giant size lipoma presented a diagnostic dilemma as it was subfascial and extended to two compartments of thigh, medial, and anterior. Also, it had to be differentiated from well-differentiated liposarcoma. Magnetic resonance imaging (MRI) could analyze the size and extent of lipoma. Fine-needle aspiration (FNA) reported the soft tissue mass as lipoma. The patient was treated by excision of the giant lipoma. The challenge was complete removal along with its extensions into adductor canal. Conclusion: A giant size lipoma of medial compartment of thigh achieving a large size of 30 cm long with extension into adductor canal. A careful excision from the neurovascular bundle has been done.