Saha Manoj
Department of Pediatric Surgery, Gauhati Medical College, Guwahati, Assam, India.
J Indian Assoc Pediatr Surg. 2015 Oct-Dec;20(4):189-90. doi: 10.4103/0971-9261.154643.
Lipomas are commonest benign tumor and can occur at any part of the body, but intermuscular lipomas are very rare and usually occur at middle age or later. Intermuscular lipomas remain hidden till they attain a large size. They commonly appear on anterior abdominal wall. We treated a case of intermuscular lipoma in a 4-year-old girl. It presented as a bulge at right iliac fossa during straining; its location and symptoms were similar to that of Spigelian hernia. Actual diagnosis was made under general anesthesia and complete surgical excision was done. This is a rare mode of presentation of an intermuscular lipoma. Intermuscular lipoma of the abdominal wall at this young age was not reported earlier.
脂肪瘤是最常见的良性肿瘤，可发生于身体的任何部位，但肌间脂肪瘤非常罕见，通常发生于中年及以后。肌间脂肪瘤在体积增大之前一直隐匿。它们通常出现在前腹壁。我们治疗了一名4岁女孩的肌间脂肪瘤病例。患儿在用力时右髂窝处出现肿块；其位置和症状与半月线疝相似。实际诊断在全身麻醉下进行，并进行了完整的手术切除。这是肌间脂肪瘤一种罕见的表现形式。此前尚未有关于这个年龄段腹壁肌间脂肪瘤的报道。
