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Benign symmetric lipomatosis (Madelung’s disease) with concomitant incarcerated femoral hernia: A case report

World Journal of Clinical Cases 2020年第21期8卷 5474-5479页

作者： Bo Li Zheng-Xing Rang Jia-Cong Weng Guo-Zuo Xiong Xian-Peng Dai Department of Vascular and Hernia Surgery The Second Affiliated Hospital of Nanhua UniversityHengyang 421001Hunan ProvinceChina

BACKGROUND Benign symmetric lipomatosis(BSL)was first described by Brodie in 1846 and defined as Madelung’s disease by Madelung in *** present,about 400 cases have been reported *** these cases,surgical resection remains the recommended *** we report a case of neck BSL with concomitant thick fatty deposit in the inguinal region,which concealed the signs of a right incarcerated femoral *** SUMMARY A 69-year-old male patient was admitted to our hospital with“abdominal pain,abdominal distension,nausea-vomiting and difficult defecation for half a month”.Moreover,he had a mass in the right inguinal region for more than 10 *** egg-sized neck mass also developed 15 years ago and had developed into a full neck enlargement 1 year *** addition,the patient had a history of heavy alcohol consumption for more than 40 *** the aid of computerized tomography scan,the patient was diagnosed with BSL and a low intestinal mechanical obstruction caused by a right inguinal incarcerated *** general anesthesia,right inguinal incarcerated femoral hernia loosening and tension-free hernia repair was ***,this patient did not receive BSL *** a 1-year follow-up,no recurrence of the right inguinal femoral hernia was ***,no increase in fat accumulation was found in the neck or other *** Secretive intraperitoneal fat increase may be difficult to detect,but a conservative treatment strategy can be adopted as long as it does not significantly affect the quality-of-life.

关键词： Benign symmetric lipomatosis Madelung’s disease Neck inguinal region inguinal incarcerated hernia Case report

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