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Intermuscular lipoma in a 4-year-old child presenting like Spigelian hernia.

Manoj Saha1

  • 1Department of Pediatric Surgery, Gauhati Medical College, Guwahati, Assam, India.

Journal of Indian Association of Pediatric Surgeons
|December 3, 2015
PubMed
Summary

Intermuscular lipomas are rare benign tumors. This case highlights a unique presentation of an abdominal wall intermuscular lipoma in a 4-year-old, mimicking a Spigelian hernia.

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Area of Science:

  • Oncology
  • Pediatric Surgery

Background:

  • Intermuscular lipomas are rare benign tumors, typically affecting middle-aged adults and often presenting on the anterior abdominal wall.
  • Their deep location can delay diagnosis until they reach a significant size.

Observation:

  • A 4-year-old girl presented with a bulge in the right iliac fossa during straining.
  • The presentation mimicked a Spigelian hernia due to its location and symptoms.

Findings:

  • Surgical exploration under general anesthesia confirmed the diagnosis of an intermuscular lipoma.
  • Complete surgical excision was successfully performed.

Implications:

  • This case represents a rare presentation of an intermuscular lipoma in a pediatric patient.
Keywords:
Intermuscular lipomalipomaspigelian hernia

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  • It underscores the importance of considering rare diagnoses, even in young children, when symptoms mimic common conditions.