Carotid sheath lipoma: first case report in the English literature

Lipomas are the most commonly encountered benign mesenchymal tumour, arising in any location where fat is normally present. Lipomas in the head and neck are rare in all age groups. Cases of vascular sheath lipomas in the femoral region have only been reported in adults. In children, vascular sheath...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2013-07, Vol.95 (5), p.e77-e5
Main Authors: Parelkar, S, Kapadnis, S, Sanghvi, B, Joshi, P, Mundada, D, Shetty, S, Oak, S
Format: Article
Language:English
Subjects:
Carotid arteries
Carotid Artery, Common - surgery
Case reports
Child
Humans
Lipoma - surgery
Male
Medical imaging
Mesenchymoma - surgery
Neck
Neoplasms, Vascular Tissue - surgery
NMR
Nuclear magnetic resonance
Online Case Report
Tumors
Ultrasonic imaging
Veins & arteries
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Summary:Lipomas are the most commonly encountered benign mesenchymal tumour, arising in any location where fat is normally present. Lipomas in the head and neck are rare in all age groups. Cases of vascular sheath lipomas in the femoral region have only been reported in adults. In children, vascular sheath lipomas have not been described to date. We report the first case of a carotid sheath lipoma in a seven-year-old boy. He had a non-tender soft mass with ill defined borders occupying the left upper part of the neck. Magnetic resonance imaging showed a mass at the bifurcation of the left common carotid artery without involving the same. The mass was hyperintense on T1 and T2 weighted sequences, suggestive of a lipoma. The lipoma was enucleated after incising the carotid sheath, safeguarding its contents. Histopathology confirmed it as a lipoma.
ISSN:0035-8843
1478-7083
DOI:10.1308/003588413X13629960045878