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

Manoj SahaJournal of Indian Association of Pediatric Surgeons 2015 20(4):189-190Lipomas are commonest benign tumor and can occur at any part of the body, but intermuscular lipomas are very rare and usually occur at middle age or later. Intermuscular lipomas remain hidden till they attain a large size. They commonly appear on anterior abdominal wall. We treated a case of intermuscular lipoma in a 4-year-old girl. It presented as a bulge at right iliac fossa during straining; its location and symptoms were similar to that of Spigelian hernia. Actual diagnosis was made under general anesthesia and complete surgical excision was done. This is a rare mode of presentation of an intermuscular lipoma. Intermuscular lipoma of the abdominal wall at this young age was not reported earlier.
Source: Journal of Indian Association of Pediatric Surgeons - Category: Surgery Authors: Source Type: research