The largest reported intrathoracic lipoma: a case report and current perspectives review
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(2019) 14:215
CASE REPORT
Open Access
The largest reported intrathoracic lipoma: a case report and current perspectives review Mohammed Aldahmashi1,2* , Abdalmotaleb Elmadawy2, Mahmoud Mahdy2 and Mohamed Alaa2,3
Abstract Background: The huge size intrathoracic lipomas are very rare. Few cases have been reported worldwide. To our knowledge, this presented case is one of the few cases reported. Here we report a single case as very huge intrathoracic lipoma compressing the right lung and displacing the diaphragm and liver downward. It has been managed by right posterolateral thoracotomy and complete excision, with excellent outcome. Case presentation: A 32-year-old male presented with a symptomatic right intrathoracic mass, which was confirmed to be a lipomatous tumor using computed tomography. A penduculated tumor originating from the mediastinal pleura was resected through the conventional right posterior thoracotomy. Pathological examination indicated a diagnosis of fibrolipoma. Conclusion: The tumor was symptomatic and relatively huge when detected during a medical checkup. This enabled the successful tumor resection via conventional thoracotomy approach. Although intrathoracic lipomas are histologically benign, careful observation and follow-up are crucial due to the possibility of recurrence. Keywords: Lipoma, Intra-thoracic, Fibrolipoma
Introduction The huge size intrathoracic lipomas are very rare. Few cases have been reported worldwide. To our knowledge, this presented case is the fourth reported [1]. Herein we report a single case as very huge intrathoracic lipoma (25 × 20 × 10 cm) compressing the right lung up and displacing the diaphragm and liver down which has been managed by right posterolateral thoracotomy and complete excision, with excellent outcome. Case history
A 32-year-old gentleman working as a hair dresser. His body weight is 100 kg, height 168 cm, Body Mass Index (BMI) was 35.43. Ex-smoker with a long history of smoking and long-standing history of chronic dry cough and shortness of breath but with no weight loss or hemoptysis. He had been managed as case of chronic obstructive pulmonary disease (COPD). He had history of surgical resection of multiple subcutaneous lipoma * Correspondence: [email protected] 1 Surgery Department, Thamar University, Dhamar, Yemen 2 Departments of Cardiac and Thoracic Surgery, PAAM Cardiac Center, Central Arar Hospital, Arar, Saudi Arabia Full list of author information is available at the end of the article
from the anterior abdominal wall. Recently, he was orthopneic with dull aching pain in the right lower chest to the right hypochondrial region. He was managed as a chest infection case then persistence of pain and dyspnea mandated performing the chest X Ray (CXR); it showed an apparent huge mass occupying most of the right hemi-thorax obscuring lung field (Fig. 1). Also, it showed how much the mass is moving upwards upon lying flat; producing profound lung compression. The patient was referred to our unit for surgical management. No history of trauma
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