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Prashant R Hombal1

1) Department of General Surgery, JN Medical College, KLE University, Belgaum, India.

Disclosure: The author has declared no conflicts of interest.

Received: 09.05.15 Accepted: 16.05.15

1486385429 Quote  doi: 10.5455/ijsm.20150513040337

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Lipoma is one of the most common benign mesenchymal tumor which can occur in almost in all organs of the body where fat normally exists, so called as universal tumor or ubiquitous tumor. Lipomas are slow growing that rarely reach a size more than 2-3cms. Lesions larger than 5cms, so called giant lipomas are seldom found inside the muscle compressing nervous-vascular structures. The large and deep seated lipomas represent a real diagnostic and therapeutic challenge.
Case report: We report a case of 48 year old man with a giant lipoma involving his left gluteal and thigh region. The patient was managed by wide local excision of the lesion. The key issues surrounding the intramuscular lipoma with literature review is discussed.
Conclusion: Intramuscular Giant lipomas are rare and even though they are typical in their presentation, especially when they are large and show findings that can be confused with a well-differentiated low grade liposarcoma, but when they occur an appropriate workup must be done. This should be followed by adequate open surgical excision and repeat examination over time to monitor for recurrence.

Keywords: giant lipoma, benign tumour, wide excision


1. Brian Allen MD, Christine Rader MD, Alan Babigian MD. Giant lipomas of the upper extremity. Can J Plast Surg 2007;15:141-144 [Pubmed] [PMC Free Fulltext]
2. Mohammad Inam Zaroo, Mir Mohsin, Syed Suraiya Arjumand Farooq. Giant Lipoma: A Case Report, JIMA 2011;43:77-9 [DOI via Crossref] [Pubmed] [PMC Free Fulltext]
3. Shane McTighe, Ivan Chernev. Intramuscular lipoma: a review of the literature, orthopaedic reviews 2014;6:56185618
4. Fletcer CD, Martin-Bates E. Intramuscular and intermuscular lipoma: neglected diagnoses. Histopathology 1988;12:275-87. [DOI via Crossref]
5. Chernev I. Intramuscular lipoma: infiltrating vs. wellcircumscribed variant. Pan AfrMed J 2014;17:170. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]
6. Ramos-Pascua LR, Guerra-Álvarez OA, Sánchez-Herráez S, et al. Intramuscular lipomas: Large and deep benign lumps not to be underestimated. Review of a series of 51 cases. Rev Esp Cir Ortop Traumatol 2013;57:391-7. [DOI via Crossref] [Pubmed]
7. Klessinger S, Freund W, Karpel-Massler G, et al. First Report of Recurrent Intramuscular Lipoma after Decompression Surgery of the Lumbar Spine. J Neurol Surg A Cent Eur Neurosurg. 2015. [Pubmed]
8. Mizoshiri N, Shirai T, Terauchi R, Arai Y, Intramuscular spindle cell lipoma of the deltoid: a case report. J Med Case Rep. 2015 Feb 19;9(1):38 [DOI via Crossref] [Pubmed] [PMC Free Fulltext]
9. Berlund P, Kalamaras M. A case report of trigger wrist associated with carpal tunnel syndrome caused by an intramuscular lipoma. Hand Surg. 2014;19(2):237-9. [DOI via Crossref] [Pubmed]
10. Tsumuraya ,Hiroyuki Yamada Hajime Shimizu, Yoshiki Hamada. Intramuscular lipoma in the masseter muscle: a case report. Br J Oral Maxillofac Surg. 2014;52(4):21-3 [DOI via Crossref] [Pubmed]
11. Balabram D, Cabral CC, Filho Ode P, Barros CP.Intramuscular lipoma of the subscapularis muscle. Sao Paulo Med J. 2014;132(1):65-7 [DOI via Crossref] [Pubmed]
12. Lui TH, Intramuscular lipoma of the abductor digit minimi mimicking intramuscular haemangioma.BMJ Case Rep. 2013 Dec 17;2013
13. Lahrach K, el Kadi KI, Mezzani A, Marzouki A, Boutayeb F. An unusual case of an intramuscular lipoma of the biceps brachii. Pan Afr Med J. 2013 Jun 2;15:40. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]
14. Khodamorad Jamshidi, Iman Qomashi, and Mehdi Ramezan Shirazi. An Unusual Location of Ossified Intramuscular Lipoma: A Case Report. Acta Med Iran. 2011;49(9):630-2 [Pubmed]
15. D'Alfonso TM, Shin SJ. Intramuscular lipoma arising within the pectoralis major muscle presenting as a radiographically detected breast mass. Arch Pathol Lab Med. 2011; 135 (8):1061-3. [DOI via Crossref] [Pubmed]
16. Sohn WI, Kim JH, Jung SN, Kwon H, Cho KJ Intramuscular lipoma of the sternocleidomastoid muscle. J Craniofac Surg. 2010; 21 (6):1976-8. [DOI via Crossref] [Pubmed]
17. Pichierri A, Marotta N, Raco A, Delfini R Intramuscular infiltrating lipoma of the longus colli muscle. a very rare cause of neck structures compression. Cent Eur Neurosurg. 2010; 71 (3):157-9. [DOI via Crossref] [Pubmed]
18. Kanji Mori, Tokuhiro Chano, Keiji Matsumoto, et al. Type-selective muscular degeneration promotes infiltrative growth of intramuscular lipoma. BMC Musculoskeletal Disorders 2004;5:20 [DOI via Crossref] [Pubmed] [PMC Free Fulltext]
19. E. R. Fregnani, F. R. Pires, R. Falzoni, M. A. Lopes, P. A. Vargas: Lipomas of the oral cavity: clinical findings, histological classification and proliferative activity of 46 cases. Int. J. Oral Maxillofac. Surg. 2003; 32: 49–53. [DOI via Crossref] [Pubmed]
20. William C. Wood. Soft tissue tumours. Oxford Text Book Of Surgery.2nd ed. oxford university press; 2002

How to Cite this Article


HOMBAL, P. (2015) ‘GIANT GLUTEAL LIPOMA: A CASE REPORT AND REVIEW OF LITERATURE’, International Journal of Surgery and Medicine, 1(1), pp. 26–29. doi: 10.5455/ijsm.20150513040337.

Citations, Quotes & Annotations

HOMBAL, P. (2015) ‘GIANT GLUTEAL LIPOMA: A CASE REPORT AND REVIEW OF LITERATURE’, International Journal of Surgery and Medicine, 1(1), pp. 26–29. doi: 10.5455/ijsm.20150513040337.
(HOMBAL, 2015)

Cited by:

1. Gondowardojo, Yustinus Robby, & Donny Argie. "Giant Lower Back Lipoma in Pediatric : A Case Report." Bali Medical Journal [Online], 6.3 (2017): 554-556. Web. 3 Jun. 2018.

Last modified onSunday, 03 June 2018 16:28