Diffuse intramuscular lipoma responsible for monomelic hypertrophy
Background: Lipomas are common benign soft tissue, however intramuscular lipoma, is an often misdiagnosed clinical entity. The aim of this case is to present an atypical infiltrating lipoma and discuss its diagnostic and therapeutic features. Clinical features: A 24 year-old patient presented to our...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Dermatology and Dermatologic Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352241015000523 |
| _version_ | 1811198319737700352 |
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| author | Krich Sanaa Meziane Mariame Amraoui Nissrine Abid Hatim Mrini Abdelmajid Tizniti Siham Mernissi Fatima Zahra |
| author_facet | Krich Sanaa Meziane Mariame Amraoui Nissrine Abid Hatim Mrini Abdelmajid Tizniti Siham Mernissi Fatima Zahra |
| author_sort | Krich Sanaa |
| collection | DOAJ |
| description | Background: Lipomas are common benign soft tissue, however intramuscular lipoma, is an often misdiagnosed clinical entity. The aim of this case is to present an atypical infiltrating lipoma and discuss its diagnostic and therapeutic features.
Clinical features: A 24 year-old patient presented to our consultation with a swelling of the right lower limb from childhood and gradually increasing in size. Clinical examination revealed a firm and extended swelling along the leg, thigh and foot giving an aspect of monomelic hypertrophy. There were no signs of vascular or nerve compression.
Intervention and outcome: Pathological study showed a lipoma. Magnetic resonance imaging (MRI) of the right lower limb objectified a large infiltrating lipoma affecting muscles of the posterior compartment of the thigh and the right leg with no signs of malignancy. The diagnosis of intramuscular lipoma was done. The surgery was proposed but the patient refused.
Conclusion: This case report described an adult female patient with an unusually intramuscular lipoma where magnetic resonance imaging was playing an important role in the diagnostic. Indeed the intramuscular is a benign fatty tumor with characteristic appearance on MRI. Its management should be considered in multidisciplinary collaboration. |
| first_indexed | 2024-04-12T01:28:21Z |
| format | Article |
| id | doaj.art-39bd5502d1b045f986d6891f45b0b23e |
| institution | Directory Open Access Journal |
| issn | 2352-2410 |
| language | English |
| last_indexed | 2024-04-12T01:28:21Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Dermatology and Dermatologic Surgery |
| spelling | doaj.art-39bd5502d1b045f986d6891f45b0b23e2022-12-22T03:53:33ZengWolters Kluwer Medknow PublicationsJournal of Dermatology and Dermatologic Surgery2352-24102016-01-01201788110.1016/j.jdds.2015.07.005Diffuse intramuscular lipoma responsible for monomelic hypertrophyKrich Sanaa0Meziane Mariame1Amraoui Nissrine2Abid Hatim3Mrini Abdelmajid4Tizniti Siham5Mernissi Fatima Zahra6Dermatological Department, Hassan II University Hospital, Fes, MoroccoDermatological Department, Hassan II University Hospital, Fes, MoroccoDermatological Department, Hassan II University Hospital, Fes, MoroccoDepartment of Orthopaedic and Trauma Surgery, Hassan II University Hospital, Fes, MoroccoDepartment of Orthopaedic and Trauma Surgery, Hassan II University Hospital, Fes, MoroccoRadiological Department, Hassan II University Hospital, Fes, MoroccoDermatological Department, Hassan II University Hospital, Fes, MoroccoBackground: Lipomas are common benign soft tissue, however intramuscular lipoma, is an often misdiagnosed clinical entity. The aim of this case is to present an atypical infiltrating lipoma and discuss its diagnostic and therapeutic features. Clinical features: A 24 year-old patient presented to our consultation with a swelling of the right lower limb from childhood and gradually increasing in size. Clinical examination revealed a firm and extended swelling along the leg, thigh and foot giving an aspect of monomelic hypertrophy. There were no signs of vascular or nerve compression. Intervention and outcome: Pathological study showed a lipoma. Magnetic resonance imaging (MRI) of the right lower limb objectified a large infiltrating lipoma affecting muscles of the posterior compartment of the thigh and the right leg with no signs of malignancy. The diagnosis of intramuscular lipoma was done. The surgery was proposed but the patient refused. Conclusion: This case report described an adult female patient with an unusually intramuscular lipoma where magnetic resonance imaging was playing an important role in the diagnostic. Indeed the intramuscular is a benign fatty tumor with characteristic appearance on MRI. Its management should be considered in multidisciplinary collaboration.http://www.sciencedirect.com/science/article/pii/S2352241015000523Infiltrating lipomaIntramuscularMonomelic hypertrophyMagnetic resonance imaging |
| spellingShingle | Krich Sanaa Meziane Mariame Amraoui Nissrine Abid Hatim Mrini Abdelmajid Tizniti Siham Mernissi Fatima Zahra Diffuse intramuscular lipoma responsible for monomelic hypertrophy Journal of Dermatology and Dermatologic Surgery Infiltrating lipoma Intramuscular Monomelic hypertrophy Magnetic resonance imaging |
| title | Diffuse intramuscular lipoma responsible for monomelic hypertrophy |
| title_full | Diffuse intramuscular lipoma responsible for monomelic hypertrophy |
| title_fullStr | Diffuse intramuscular lipoma responsible for monomelic hypertrophy |
| title_full_unstemmed | Diffuse intramuscular lipoma responsible for monomelic hypertrophy |
| title_short | Diffuse intramuscular lipoma responsible for monomelic hypertrophy |
| title_sort | diffuse intramuscular lipoma responsible for monomelic hypertrophy |
| topic | Infiltrating lipoma Intramuscular Monomelic hypertrophy Magnetic resonance imaging |
| url | http://www.sciencedirect.com/science/article/pii/S2352241015000523 |
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