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. 2019:65:57-60.
doi: 10.1016/j.ijscr.2019.10.031. Epub 2019 Oct 23.

Diaphragmatic lipoma; A benign condition necessitating an aggressive management

Aram Baram  1 , Fahmi Hussein Kakamad  2 , Kizhan Abdalla Hama Salih  3 , Dezhin Faeq Rashid  3 , Rawand Abdulrahman Essa  4
Affiliations

Diaphragmatic lipoma; A benign condition necessitating an aggressive management

Aram Baram et al. Int J Surg Case Rep. 2019.

Abstract

Introduction: Primary diaphragmatic lipoma (PDL) is a very rare condition. The aim of this paper is to report a case of diaphragmatic lipoma presenting as a case of diaphratmatic hernia with a brief literature review. A 73-year-old female presented with chronic dry cough for three month duration. The patient was stable, there was no significant finding on general, chest and abdominal examination. Chest-x-ray showed vague shadow above the left dome of the diaphragm. Computed tomography scan (CT scan) of the chest revealed a round mass with features consistent with either diaphragmatic hernia or malignancy. The patient underwent resection under general anesthesia and histopathological examination confirmed the diagnosis of PDL.

Conclusion: Although PDL is a benign condition, in most of the time, it needs aggressive management because of the possibility of malignancy or other critical diseases.

Keywords: Diaphragm; Hernia; Lipoma; Malignancy.

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Conflict of interest statement

There is no conflict to be declared.

Figures

Fig. 1
Fig. 1
Plain posteroanterior chest radiograph showing a vague mass behind left cardiac shadow.
Fig. 2
Fig. 2
Computed tomography scan of the chest showing round mass with fat attenuation attached to the left dome of the diaphragm.
Fig. 3
Fig. 3
Intraoperative picture of the pathology.
Fig. 4
Fig. 4
Cluster of mature adipocytes separated by fibrous tissues.
See this image and copyright information in PMC

References

    1. Shokoufeh Ahmadipour, Keyghobad Ghadiri, Omid Aman Ollahi, Homa Babaei. A case report of a rare diaphragmatic lipoma with Bochdalek hernia in a 7 month old girl. J. Am. Sci. 2012;8(11):80–83.
    1. Castillo Mauricio, Shirkhoda Ali. J. Comput. Tomogr. 1985;9:167–170. - PubMed
    1. Ballon Harry C., Spector Leo. Lipoma of the diaphragm. Can. Med. Assoc. J. 1939:487–489. - PMC - PubMed
    1. Margiotta Gabriele, Carlini Luigi, Carnevali Eugenia, Lancia Massimo, Gabbrielli Mario, Bacci Mauro. Giant diaphragmatic lipoma: two autopsy case reports and review of the literature. J. Forensic Sci. 2015;60(6):1640–1643. - PubMed
    1. Agha R.A., Fowler A.J., Saetta A., Barai I., Rajmohan S., Orgill D.P., for the SCARE Group The SCARE statement: consensus-based surgical case report guidelines. Int. J. Surg. 2018 - PubMed