Year: 2026 | Month: June | Volume: 13 | Issue: 6 | Pages: 381-386
DOI: https://doi.org/10.52403/ijrr.20260637
From Cosmetic Concern to Surgical Challenge: Extensive Multiple Lipomatosis – A Case Report
Dr Bathina Neehaar1, Dr Kiran Kumar KM2, Dr Sadashiv V Patil3, Dr Madhuri Naik4, Dr Supreetha S5
1Postgraduate Resident, Department of General Surgery, Sapthagiri Institute of Medical Sciences and Research Centre (SIMSRC), Bengaluru, Karnataka, India
2Professor, Department of General Surgery, SIMSRC, Bengaluru, Karnataka, India
3Professor, Department of General Surgery, SIMSRC, Bengaluru, Karnataka, India
4Assistant Professor, Department of General Surgery, SIMSRC, Bengaluru, Karnataka, India
5Postgraduate Resident, Department of General Surgery, SIMSRC, Bengaluru, Karnataka, India
Corresponding Author: Dr Bathina Neehaar
ABSTRACT
Background: Lipomas are the most common benign soft-tissue tumours and are composed of mature adipocytes. While solitary lipomas are frequently encountered in surgical practice, multiple lipomatosis is an uncommon condition characterized by the occurence of numerous lipomas distributed over different parts of the body. Extensive multiple lipomatosis may result in cosmetic deformity and present unique surgical challenges.
Case Presentation: A 34-year-old male presented with multiple painless swellings over the abdomen and both upper and lower limbs since the age of 10 years. The swellings gradually increased in both size and number over a period of approximately 24 years. There was no history of trauma, previous surgical intervention, or similar complaints among family members. Ultrasonography was suggestive of multiple lipomas. Clinical examination revealed approximately 80–90 soft, mobile, non-tender subcutaneous swellings, with the largest measuring 9 x5 cm. Owing to cosmetic concerns, surgical excision was planned. Under general anaesthesia, a total of 82 lipomas were excised from the abdomen and extremities during a single operative session. Histopathological examination demonstrated mature adipocytes arranged in lobules separated by thin fibrovascular septae, confirming the diagnosis of benign lipoma. The postoperative period was uneventful, and no recurrence was observed during one-month follow-up.
Conclusion: Extensive multiple lipomatosis is a rare benign condition that can lead to considerable cosmetic and psychological burden. Complete surgical excision remains the treatment of choice and can provide excellent cosmetic and functional outcomes. This case highlights the feasibility of excising a large number of lipomas in a single operative setting with satisfactory results.
Keywords: Multiple lipomatosis, Multiple lipomas, Lipoma, Benign adipocytic tumour, Surgical excision, Case report
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