Huge Lipoma Research Articles

Giant Lipoma of the Bauhin's Valve.

Lipomas are benign tumors that can affect the digestive tract, everywhere from the hypopharynx to the rectum. Lipomas affecting the large intestine are the second most common benign tumor, after colon adenoma. We present the case of a 46-year-old patient who was initially hospitalized in the Gastroenterology Clinic with a diagnosis of gastrointestinal bleeding. The colonoscopy raised the suspicion of a malignant tumor of the transverse colon, but the computed tomography scan showed the existence of a lipoma that measured 16/11/12 cm that occupied the ascending and transverse colon, though the CT examination could not determinate the origin of the lipoma. After restoring the hydro-electrolytic and fluid balance of the patient, surgery was performed and a huge lipoma of the ileocecal valve was discovered. Extended right hemicolectomy was performed, with good subsequent postoperative recovery of the patient, who was discharged on the fifth day after the surgery. The peculiarity of this case is the huge size of the benign tumor. Lipomas with digestive system localization, although rare, must be considered in patients arriving at the Emergency Department with digestive hemorrhages, intussusception and even intestinal obstruction.

Surgical treatment of huge lipoma of bilateral submandibular region spread down the neck in a patient with madelung’s disease: rare clinical case report

Abstract: Madelung disease (MD) is a disease of fat metabolism disorder that causes the formation of lipoma fatty tumors throughout the body. The disease mainly occurs in the Mediterranean population and is very rare in Asians, with a male: female ratio of 15 - 30:1, closely related to alcohol. The treatment of MD primarily is surgical resection of the tumor to management of cosmetic and functional issues. We report a rare clinical case of Madelung disease type I with bilateral submandibular lipoma tumor spreading down the neck affecting neck mobility and aesthetics, who was successfully operated at department of Maxillofacial Surgery, Hue University of Medicine and Pharmacy Hospital. Key words: madelung disease (MD), lipomas, surgical treatment.

Giant intermuscular lipoma of hip: A case report.

IntroductionLipomas are one of the most common benign tumors, but deep tissue and huge lipomas are rare.Presentation of caseA 59-year-old middle-aged woman was admitted to hospital for right hip mass resection because of numbness and pain in her right lower limb for 6 months. Ultrasound and nuclear magnetic resonance imaging (MRI) showed irregular mass. On the assumption of malignancy, the patient underwent a right hip mass resection and returned to normal with no short-term or long-term response. HE (hematoxylin-eosin) staining of the tumor showed the characteristics of a benign tumor.DiscussionThe pathogenesis of myolipoma is not clear, and it may be related to brown adipose tissue. When lipoma is huge, it needs interventional treatment. Complete encapsulated myolipoma can usually be completely removed, with low recurrence possibility and good prognosis.ConclusionGiant intramuscular lipoma of hip and its clinical manifestations are relatively rare. And the results of ultrasound imaging are similar to those of the surrounding normal adipose tissue. No significant difference was observed by naked eye. In particular, postoperative pathological examination is needed to make a definite diagnosis and differential diagnosis. Clinically, surgical treatment is often used, and the prognosis is good, but recurrence is possible. The following report discusses the experience of one of our patients, with literature review.

Giant spermatic cord lipoma: case report

Benign extratestinal lesions, including spermatic cord lipomas, are often incidental findings on palpation of the scrotum. There are frequent cases of detection of lipomas both when performing hernioplasty of inguinal hernias, and during other surgical interventions in the inguinal canal or in the scrotum. Lipomas of the spermatic cord can accompany the hernia of the inguinal canal, and in some cases, and proceed independently.Some authors have described cases of erroneous diagnosis of huge extratesticular lipomas as inguinal hernias, while suggesting that the lipoma of the spermatic cord be recognized as an important clinical unit necessary in conducting a thorough urological differential diagnosis in order to avoid unnecessary hernioplasty. It is not always easy to determine the correct tactical and technical techniques, their sequence, adequacy for each specific case. This is due to the limited time for decision-making and the high emotional burden that the doctor bears when examining and deciding treatment tactics at the time of surgery. This fact prompted us to share our clinical observations and suggest step-by-step surgical tactics that we use.

Lipoma of floor of the mouth: A case report

Lipoma a benign mesenchymal tumor is a rare finding in the oral cavity. This paper reports a case of 75 years old male patient with a huge lipoma of the floor of the mouth, along with its manage- ment at the Department of Maxillofacial surgery at Abbasi Shaheed Hospital, Karachi Pakistan. Conclusion: Lipoma of the floor of the mouth is very rare. We endorse complete surgical excision as an optimal treatment of oral lipoma.

Surgical treatment of congenital left ventricular diverticulum.

BackgroundCongenital left ventricular diverticulum (LVD) is a rare cardiac malformation. Its prevalence rate is less than 0.1% of the congenital heart diseases requiring surgery. Some scholars suggest that all LVD should be actively removed to prevent possible risks, including diverticulum rupture, arterial embolism, and malignant arrhythmia. However, others believe that asymptomatic LVD can be followed up without immediate surgery. We reviewed and reported the diagnosis, clinical features, and surgical treatment of four cases of congenital LVD to provide clinical experience and a reference for the treatment of such patients.MethodsFour patients (aged 3–32 years old) were diagnosed with congenital LVD and received surgical treatment at the Department of Cardiovascular Surgery of PLA General Hospital, Beijing, China from September 2009 to July 2019. All four patients had complete long-term postoperative follow-up data, including echocardiogram, enhanced cardiac computed tomography (CT), and electrocardiogram to monitor changes in left ventricular structure, heart function, and heart rhythm.ResultsIn the first case, the fibrodiverticulum under the aortic valve squeezed the right ventricular outflow tract and the right main coronary artery; the morphology of the right ventricle and coronary artery returned to normal after surgery. The second patient was complicated with a huge lipoma in the apex of the left ventricle and underwent lipoma resection during LVD resection surgery. The third and fourth cases had muscular diverticula in the left ventricular apexes and received LVD removal surgery. All four patients recovered well after surgery and their left ventricular morphology and cardiac function were normal without adverse complications, such as atrial fibrillation, ventricular arrhythmia, and cerebrovascular accident.ConclusionsAlthough the morphology and character of congenital LVD were different in each case, the use of effective diagnostic and follow-up tools, including echocardiogram, enhanced CT, and magnetic resonance imaging (MRI), allowed for successful surgical treatment of the left ventricular diverticula and symptoms or other malformations. We propose that congenital LVD should be actively treated with surgery, especially considering effectiveness and low risk associated with this therapeutic option.

Successful endoscopic submucosal dissection for a huge lipoma in the terminal ileum.

Successful endoscopic submucosal dissection for a huge lipoma in the terminal ileum.

Rare Presentation of Huge Lipoma in the Right Axillary Region in a 10 Months’ Infant

Lipomas are common benign soft tissue tumors which can be seen in many parts of the body, but they are uncommon in axillary region. Axilla is a rare region for lipoma. although lipoma is the most common benign mesenchymal tumor, its location in some regions are uncommon [1]. Moreover, huge and giant lipoma are uncommon. Therefore, axillary giant cell lipoma is rare presentation [2]. Lipomas are seen in subcutaneous tissue of extremities, trunk and neck commonly. Their existence in axillary region is rare. Giant lipoma in adults are 10*10 cm in diameter [3]. Lipomas are originated from mesenchymal fibrofatty tissue. Their usual presentations are soft mass without tenderness which grows slowly [4]. The most common site for location of lipoma is shoulder and back of trunk, and the second common site is head and neck [5]. Lipoma can be seen in GI tract, especially in the colonic wall [6]. Intra osseous primary lipoma is as rare as 0.1% of bone tumors. The most age of such tumor’ s presentation is in 4th decades of life. They are 70% located in the lower extremity [7]. In this case presentation we reported a ten months’ boy who was referred in our hospital due to a large and fast-growing soft tissue mass in his axilla. His arm was in 45-degree angle with the chest wall in upright position of the baby due to the huge mass. The patient was normal in physical examination except a huge and firm mass in right axilla. He had no history of any underlying disease. We found no history of such condition in his family members. Surgical excision of mass was done successfully, and Pathologic findings were mature adipose tissue compatible with lipoma.

Huge Lipoma in the Floor of the Mouth: A Case Report

Lipomas are adipose mesenchymal neoplasms. The oral cavity is not commonly affected. representing about0.5% to 5% of all benign oral tumors. The clinical presentation is typically as an asymptomatic yellowish mass.The overlying epithelium is intact and superficial blood vessels are usually evident over the tumour. Although benign in nature their progressive growth may cause interference with speech and mastication due to tumour’s dimension. The present report shows the case of a 52-year old male who presented with a large intraoral lipoma with extension to the right submandibular region. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 58-61

A case report: a giant cardiac atypical lipoma associated with pericardium and right atrium

BackgroundAmong primary cardiac tumors, atypical lipoma is very rare. In particular, cases with lipomas in both the pericardium and the atria are even rare.Case presentationWe report the case of a 49-year-old male patient presented to our department because of chest pain. Echocardiography revealed two large masses in both the pericardium and the right atrium. Then the tumors were completely resected and the histopathological examination revealed atypical lipoma. The patient recovered well without any complication and discharged from hospital.ConclusionsWe report a very rare case of a huge atypical lipomas located on the pericardium and right atrium. These tumors were easily detected by echocardiography and final diagnosed after surgical resection and pathological examination.

Huge Lipoma Involving Left Cheek Region: A Case Report

Lipomas are very common benign lumps that can be encountered in any part of the body but a small proportion present in the head and neck region. In this case report we have discussed the diagnosis and surgical treatment of an asymptomatic huge lipoma of left cheek. The patient had this swelling present for the last 5 years. Initially there was a slight increase in the size of the swelling but since the last 3 years there is no change in size. There was no history of associated pain and tenderness. The patient had esthetic concerns because of which the lesion was excised. These lipomas continue to grow slowly, showing variable signs including dysphagia, dyspnea, and dysphonia due to the compressing effect on surrounding structures. It can also be a matter of cosmetic concern. With this case report, authors will also highlight the diagnostic modalities and treatment for lipomas occurring in unusual areas in the body. It is a rare finding that occurs anterior to parotid but can be treated successfully by current surgical approach.Key Words:, ,

Case Report-Huge Lipoma in the Right Groin

Lipoma is the most common soft tissue tumor, considered the universal tumor in the body. The differential diagnosis of a lipoma in the groin will include groin hernias, safina varex, lymphadenopathy, hydrocele and sarcoma. Due to the similarity of clinical symptoms and signs, the differentiation between inguinal, femoral hernias and groin lipoma is difficult. To avoid the high risk of intraoperative complications, correct diagnosis is an indication. We are report-ing a case with huge lipoma arisen from the right groin mainly from right la-bium major of a 19-year-old single girl grown in a relatively short period to reach dimensions of a football and weighing 7200 grams. Painless, peduncu-lated tumor arose from labium major to the level of the knee, asymptomatic except unsightly huge mass, which treated successfully by surgical excision without complications and proved benign with no malignant changes detected.

Huge right breast lump in male: a diagnostic dilemma as gynecomastia or something else?

Any lump in the male breast is considered as cancer until histologically ruled out otherwise. Breast asymmetry can result from unequal hypertrophy or neoplastic growth, leading fatty tumors to be clinically and radiographically difficult to differentiate from hypertrophy.2 Lipoma is one of the most common benign mesenchymal tumors derived from fatty tissue. Incidence ranges from 12 to 16% of all mesenchymal tumors. We present an unusual presentation of the huge right breast lump in male. A 46 years old male, painless giant sagging right breast. Underwent reduction mammoplasty. Excision biopsy revealed mature adipose tissue separated by thin fibro vascular septate with no neuronal component and malignant transformation. Huge lipoma in male are unusual, requires care evaluation for diagnosis. They associated with excellent prognosis, after successfully intervened. All surgeons should aware of this kind of presentation. To the best of our knowledge this is the first reported case of a huge lipoma of breast in a male. When considering for treatment, the challenging part is reconstruction the breast in full filling a normal symmetrical and aesthetic anatomic structure of the breast. various literatures.

Use of Ambu® aScope™ 3 in difficult airway management in giant lipoma neck

Background and objectivesLipoma represents very common soft tissue tumour, which may appear anywhere in the body. Appearance of a giant lipoma at the nape of neck, can severely compromise neck extension especially in elderly patients where age related degenerative changes in airways present significant challenges to anesthesiologists in airway management whenever needed. This paper evaluates the role of Ambu® aScope™ 3 in such a patient.Case reportAn expected case of difficult airway where an old man presents with a huge lipoma of 15.5 × 12.4 cm at the nape of neck where we achieved awake intubation using a non-fiberoptic flexible bronchoscope Ambu® aScope™ 3. In the absence of fiberoptic bronchoscope, this device helped us secure airway in this very challenging case.ConclusionAmbu® aScope™ 3 can be used for elective awake intubations in patients with difficult airways.

巨大頸部脂肪腫の 1 例

巨大頸部脂肪腫の 1 例

Airtraq® Optical Laryngoscope for Tracheal Intubation in a Patient with Giant Lipoma at the Nape: a Case Report

Lipoma is a progressively increasing disease which may appear anywhere in the body. Its appearance at the back of the neck, especially when it is large enough to cause restriction of neck extension, poses challenges to anesthesiologists in airway management whenever needed. This paper evaluates the role of Airtraq® in restricted neck movement. Case with a huge lipoma of 14×12cm at the nape, and its surgical removal during an elective operation theatre posed difficulty in securing the airway by conventional laryngoscopy. To overcome the problem we successfully used a newly developed device, the Airtraq®, which is an optical laryngoscope for securing the airway. Airtraq® can be used for elective intubation in patients with restricted neck movements.

Medical Service in Cambodia

Medical Service in Cambodia

Metastatic Omental Tumor Secondary to Occult Ovarian Serous Adenocarcinoma

Primary tumors within the abdomen frequently spread to the mesentery and omentum, but these deposits may not cause symptoms until they grow large enough to displace organs or cause intestinal obstruction. We present an uncommon case of occult ovarian serous adenocarcinoma presenting as a solitary metastatic omental mass. A 72-year-old female patient found a hard, mobile subcutaneous mass located at the umbilical area. This mass gradually became larger, but there were no symptoms in the gastrointestinal tract. Abdominal ultrasonography showed a homogenous, hypoechoic lesion. A preoperative diagnosis of a huge intra-abdominal lipoma was made, and surgical intervention was carried out. Intraoperatively, we found a tumor mass located in the greater omentum without ascites. The surgical procedure consisted of a complete resection of the omental mass. Frozen section analysis by the pathologist revealed a metastatic serous adenocarcinoma. Intra-abdominal organs including the gastrointestinal tract, ovaries, uterus and pancreas were examined carefully; however, no abnormal lesions were identified either grossly or palpably. Two months after the operation, a computed tomographic scan of the abdomen was performed, and a cystic mass lesion with a 0.9-cm lobulated margin was confirmed in the posterior wall of the right ovary. The patient was then referred to a gynecologist for further survey and underwent another operation. Finally, a pathologic report of the right ovary showed that the primary lesion of this metastatic omental cancer originated from right ovarian cancer. This case demonstrates the possibility of development of a metastatic omental mass from an occult ovarian serous adenocarcinoma.

Huge Lipoma in Gastric Body Presenting with Hypovolemic Shock: Report of a Case

Huge gastric lipomas rarely manifest as hypovolemic shock. We report a 69-year-old man who was admitted to our emergency room because of a two-day history of tarry stool. Emergency upper gastrointestinal endoscope revealed two masses measuring 9 cm×7 cm×5 cm and 1.5×cm×1.5 cm×1.5 cm, respectively, with smooth surface and ulcerative changes at the base, located on the posterior wall of the stomach body. Gastrointestinal stromal tumor or malignancy was suspected pre-operatively. Open surgery with subtotal gastrectomy + Billroth II gastrojejunostomy was performed because the possibility of rebleeding and malignant could not be rule out. Pathological examination disclosed a bleeding ulcerated submucosal lipoma. Herein, we report a case of a huge gastric lipoma presenting as hemorrhagic shock and review the literature regarding this relatively rare tumor.

Huge retropharyngeal lipoma causing obstructive sleep apnea: a case report

Lipoma of the retropharyngeal space is a very rare benign tumor often causing unspecific clinical symptoms. The most common symptoms are dysphagia and/or respiratory disturbances. The clinical diagnosis may be difficult. The radiological imaging techniques (CT and MRI) can provide adequate information with regard to the composition and extension of the tumor, although final histological confirmation is essential. Surgery is the treatment of choice. We present a case of 40-year-old male patient complaining of obstructive sleep apnea symptoms (respiratory disturbances, excessive daytime somnolence, morning headache). The radiological examination (CT) showed a huge (11.7 x 7.2 cm) lipoma of the retropharyngeal space extending from the nasopharynx to the superior mediastinum. The tumor was removed via transcervical approach with complete amelioration of symptoms.