Mohammad Hussain, Almajed Suaad, Nawaf Norah, AlMulla Nawar, Lari Ali, Jarragh Ali
Department of Orthopedic Surgery, AlRazi National Orthopedic Hospital, Kuwait City, Kuwait.
Department of Surgery, Kuwait University, Kuwait City, Kuwait.
J Surg Case Rep. 2024 Dec 27;2025(1):rjae817. doi: 10.1093/jscr/rjae817. eCollection 2025 Jan.
Giant lipomas, rare benign tumours composed of mature adipose tissue, represent only 1% of all lipomas, typically exceeding 10 cm in diameter or weighing over 1000 g. These tumours can cause nerve compression, discomfort, or functional impairment, necessitating surgical excision. We report a 52-year-old male with a giant intramuscular lipoma in the periscapular region, initially identified following significant weight loss after bariatric surgery. Clinical evaluation revealed a 15 × 20 cm mass, confirmed via computed tomography (CT) scan. Surgical excision was performed, followed by histopathological analysis, which confirmed a benign lipoma. Postoperative management was complicated by seroma formation, requiring drainage. This case underscores the importance of early diagnosis, imaging, and appropriate surgical management for large lipomas to prevent complications and recurrence while ensuring optimal cosmetic outcomes.
巨大脂肪瘤是由成熟脂肪组织构成的罕见良性肿瘤，仅占所有脂肪瘤的1%，通常直径超过10厘米或重量超过1000克。这些肿瘤可导致神经受压、不适或功能障碍，因此需要手术切除。我们报告一例52岁男性，在肩胛周区域有一个巨大的肌内脂肪瘤，最初是在减肥手术后体重显著减轻后发现的。临床评估发现一个15×20厘米的肿块，通过计算机断层扫描（CT）得以确诊。进行了手术切除，随后进行组织病理学分析，证实为良性脂肪瘤。术后处理因血清肿形成而复杂化，需要进行引流。该病例强调了对于大型脂肪瘤进行早期诊断、影像学检查及适当手术处理的重要性，以预防并发症和复发，同时确保最佳的美容效果。
