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Revista de la Asociación Médica del Centro Médico ABC

2021, Number 2

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An Med Asoc Med Hosp ABC 2021; 66 (2)

Intermuscular fibrolipoma of the hip

Miravete GA, Estrada ZKM, Camacho GJ

Language: Spanish
References: 13
Page: 128-131
PDF size: 293.47 Kb.


ABSTRACT

Intermuscular subfascial lipomas represent less than 2% of all lipomas. The specific incidence of intermuscular fibrolipomas is unknown, with only case reports and small series of cases found in the literature. We present the case of a 45-year-old female patient whose current disease initiated approximately three weeks prior to her hospitalization, presenting with an oppressive pain in the inguinal region, without irradiations, with an intensity of 3/10 on the VAS which is exacerbated with mild physycal activity. Physical examination demonstrates a tumor size by approximately 5 × 3 cm in the anterolateral region of the muscle, of smooth consistency, adhering to deep planes, with mild pain at medium and deep palpation. An MRI of the muscle was done, a lobular mass was founded of approximately 6.4 × 4.4 cm traversed with fibrous strands thick lobes, in intensity of the wave at T1. We realize a surgical resection of the lesion with the final piece sent to pathology for a definitive diagnosis of intermuscular fibrolipoma. The low incidence of this pathology makes it of interest for its report, it is of utter importance to update its accurate diagnostic approach and treatment strategies.


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