Infiltrative Intramuscular Lipoma with Overlying Fascial Defect in the Anterior Thigh: A Case Report.
| Autor: | Taylor TN; Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, USA., Murray RD; Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine, Chattanooga, USA., Morrow DL; Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine, Chattanooga, USA., Duff J; Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine, Chattanooga, USA., Voskuil RT; Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine, Chattanooga, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Mar 16; Vol. 16 (3), pp. e56274. Date of Electronic Publication: 2024 Mar 16 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.56274 |
| Abstrakt: | This case report details a unique presentation of an infiltrative intramuscular lipoma in the anterior thigh of a 51-year-old female with an overlying fascial defect. The patient reported a progressively enlarging left thigh mass associated with pain exacerbated by knee movement and exercise. MRI revealed a homogeneous intramuscular lipoma without contrast enhancement with a fascial defect. An 8 cm longitudinal incision exposed a 7 x 4 cm fascial defect overlying the lipomatous mass within the rectus femoris muscle. Pathological analysis confirmed an intramuscular lipoma without malignancy. Follow-ups at two, six, and 12 weeks demonstrated pain resolution and no soft tissue bulge. This case underscores the importance of distinguishing intramuscular lipomas from other neoplasms, such as lipomatosis and liposarcomas. The association of a fascial defect with intramuscular lipomas is unprecedented and may be due to the increased pressure on the fascia by the lipoma. The report emphasizes the role of MRI in diagnosis and appropriate surgical management, and highlights the need for further exploration into the etiology of fascial defects associated with intramuscular lipomas. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Taylor et al.) |
| Databáze: | MEDLINE |
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