Journal List > J Korean Soc Spine Surg > v.20(4) > 1076004

Min, Seo, Shin, Jun, and Lim: Giant Intramuscular Lipoma in the Back after a Blunt Trauma

Abstract

Study Design

Case report.

Objectives

To report a case of a giant intramuscular lipoma after a blunt trauma.

Summary of Literature Review

Lipomas are the most frequent benign tumor of the mesenchymal tissue. Although the etiopathogenesis is not complete understood yet, it is known that lipoma develope with a 1% rate after traumas in the related localizations. Traumata induce hematoma and initiates inflammatory reactions in fatty tissue and can trigger the development of lipoma.

Materials and Methods

2 years after a blunt trauma a 56years male patient developed a back mass. A massive lipoma was confirmed clinical and radiological.

Results

A total excision was performed and the result was histopathologic confirmed.

Conclusions

Patients who develop hematoma after a trauma need a close lipoma progress observation which decrease the invasive treatment of post-trauma hematoma.

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Fig. 1.
Magnetic resonance imaging showing the giant intramuscular lipoma in the back. (A) T1-weighted axial image (B) T2-weighted axial image (C) Enhance axial image
jkss-20-201f1.tif
Fig. 2.
Post-traumatic giant lipoma of the back muscle. (A) Giant lipoma is shown (B) Microscopic presentation of the tumor well-demarcated lesion with fibrous capsule (HE staining ×40)
jkss-20-201f2.tif
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