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Updated: Jun 6, 2026
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Intra-iliac Artery Injection for Efficient and Selective Modeling of Microscopic Bone Metastasis
Published on: September 26, 2016
Intravascular lipoma from iliofemoral tract
Marco Clemente1, R Romagnuolo, X Dumani
1Surgical, Anaesthesiology-Rianimative and Emergency Science Department, University of Naples "Federico II", Sergio Pansini Street no 5, Naples, Italy, marco-clemente@hotmail.it.
Updates in Surgery
|November 12, 2010
Summary
A rare intraluminal lipoma caused lower limb venous obstruction. Diagnosis was confirmed during surgery, and direct vein wall reconstruction led to symptom resolution.
Area of Science:
- Vascular Surgery
- Oncology
- Pathology
Background:
- Lipomas, benign tumors of adipocytes, are the most common soft tissue masses.
- Intraluminal lipomas are exceptionally rare, particularly within the iliofemoral axis.
Observation:
- A case is presented of an intraluminal lipoma within the iliofemoral axis.
- The lipoma manifested as significant lower limb venous obstruction.
- Nonspecific symptoms and limitations of radiologic imaging hindered preoperative diagnosis.
Findings:
- Definitive diagnosis was achieved intraoperatively due to the rarity and atypical presentation.
- Surgical intervention involved direct reconstruction of the affected vein wall.
- A 12-month follow-up revealed complete symptom resolution and restoration of function.
Implications:
- This case highlights the importance of considering rare intraluminal tumors in the differential diagnosis of venous obstruction.
- Direct venous wall reconstruction is a viable surgical approach for intraluminal lipomas.
- Successful surgical management can lead to excellent long-term outcomes for patients.
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