Lipomas are common benign mesenchymal neoplasms with slow growth, consisting of mature adipocytes, while giant inguinal lipomas are rare because of anatomical limitations. This report describes a 46-year-old woman who presented with a reducible left inguinal mass and an ipsilateral painless giant subcutaneous mass. She was diagnosed with a left indirect inguinal hernia and a separate inguino-labial lipoma superficial to the external oblique aponeurosis, which was not adherent to the inguinal canal, round ligament or canal of Nuck. The coexistence of the two lesions was incidental. The patient underwent combined laparoscopic totally extraperitoneal (TEP) hernia repair and TEP-guided transfascial lipoma excision. Histopathology verified a mature lipoma without atypia or features of liposarcoma. We summarize the clinical manifestations, diagnostic points, anatomy, surgical techniques, pathological results and clinical outcomes of this rare condition, and confirm that single-stage TEP-guided transfascial lipoma excision is a safe and feasible procedure.
Introduction This study aimed to evaluate the clinical value of three-step laparoscopic cholecystectomy combined with indocyanine green (ICG)-guided fluorescence imaging in patients with complicated acute cholecystitis. Methods We retrospectively reviewed the clinical data of 115…
Objectives To enhance the diagnostic and therapeutic awareness of eosinophilic granulomatosis with polyangiitis (EGPA) complicated by pulmonary aspergillosis. Methods We report a case of EGPA initially misdiagnosed as allergic bronchopulmonary aspergillosis (ABPA) in a 52-year-ol…
Acrodermatitis continua of Hallopeau (ACH) is a rare and chronic variant of pustular psoriasis characterized by sterile pustules, periungual inflammation, and progressive nail destruction. Due to its rarity and overlapping clinical features with other nail disorders, ACH is frequ…
Tamoxifen-induced retinopathy is well recognized and frequently reported in clinical practice. By contrast, ocular adverse events associated with the structurally similar agent toremifene remain rarely described. We present a case of bilateral visual impairment in a patient recei…
Persistent fever as an initial manifestation of polycythemia vera (PV) is uncommon and may lead to diagnostic delay. We report a 72-year-old woman with recurrent low-grade fever for 1 month, with a maximum temperature not exceeding 38.0 °C. Although this presentation did not meet…
Gastrointestinal involvement is common in systemic sclerosis (SSc), but severe abdominal pain should not be attributed automatically to dysmotility or malabsorption. We report a 72-year-old woman with long-standing limited cutaneous SSc who developed recurrent severe abdominal pa…