دورية أكاديمية
Intramuscular lipomas posing diagnostic and pre-operative counselling challenges in a low-resource setting: A case series.
| العنوان: | Intramuscular lipomas posing diagnostic and pre-operative counselling challenges in a low-resource setting: A case series. |
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| المؤلفون: | Adesina SA; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria; Bowen University, P.M.B 284 Iwo, Osun State, Nigeria. Electronic address: stephen.adesina@bowen.edu.ng., Amole IO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria; Bowen University, P.M.B 284 Iwo, Osun State, Nigeria. Electronic address: isaac.amole@bowen.edu.ng., Adefokun IG; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria; Bowen University, P.M.B 284 Iwo, Osun State, Nigeria., Adegoke AO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria; Bowen University, P.M.B 284 Iwo, Osun State, Nigeria. Electronic address: adepeju.adegoke@bowen.edu.ng., Ano-Edward GH; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria; Bowen University, P.M.B 284 Iwo, Osun State, Nigeria. Electronic address: gbemi.ano-edward@bowen.edu.ng., Eyesan SU; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria; Bowen University, P.M.B 284 Iwo, Osun State, Nigeria. Electronic address: samuel.eyesan@bowen.edu.ng. |
| المصدر: | International journal of surgery case reports [Int J Surg Case Rep] 2024 Jul 30; Vol. 122, pp. 110093. Date of Electronic Publication: 2024 Jul 30. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101529872 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2210-2612 (Print) Linking ISSN: 22102612 NLM ISO Abbreviation: Int J Surg Case Rep |
| أسماء مطبوعة: | Original Publication: [Amsterdam] : Elsevier B.V. |
| مستخلص: | Introduction: Intramuscular lipomas (IMLs) are uncommon primary adipose tissue tumours deep within the muscle. A high likelihood of misdiagnosing them as other benign and malignant masses necessitates imaging studies to confirm the diagnosis and plan treatment. Ultrasonography is useful but CT and MRI provide a more accurate diagnosis. While diagnostic tests are suitable, they may not always be accessible or affordable in low-resource settings. We present three cases of IMLs that emphasise the difficulties posed by limited resources and the significance of a comprehensive medical history and physical examination in low-resource settings. Presentation of Cases: The patients included a 57-year-old male with a distal right thigh mass, a 65-year-old female with a proximal right thigh mass, and a 60-year-old female with a mass at the left scapular area. The three patients underwent surgical excision and had an uneventful postoperative course, with no reported recurrence during their ongoing follow-up. Discussion: The management of IMLs is not complicated if the requisite resources are available. Conversely, in low-resource settings with limited diagnostic facilities and human expertise, management may take a challenging path. Patient 1, despite undergoing diagnostic tests confirming IML, initially declined treatment due to challenges with pre-operative counselling. Patients 2 and 3 lacked health insurance and could not afford diagnostic imaging tests. Conclusion: Healthcare professionals in low-resource settings should familiarise themselves with the clinical characteristics and pathology of IMLs to minimise misdiagnosis and ensure appropriate counselling is provided to patients. IMLs are slow-growing mostly asymptomatic benign swelling. On physical examination, they are usually non-tender, soft, masses, not fixed to the bed or overlying tissue. The overlying skin is normal and lymphadenopathy is absent. Competing Interests: Conflict of interest statement None. (Copyright © 2024. Published by Elsevier Ltd.) |
| فهرسة مساهمة: | Keywords: Intramuscular lipoma; Low-resource setting; Shoulder pain; Supraspinatus; Thigh |
| تواريخ الأحداث: | Date Created: 20240801 Latest Revision: 20240801 |
| رمز التحديث: | 20240802 |
| DOI: | 10.1016/j.ijscr.2024.110093 |
| PMID: | 39088975 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2210-2612 |
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| DOI: | 10.1016/j.ijscr.2024.110093 |