Giant gluteal lipoma presenting as a sciatic hernia

Abstract

The presence of a gluteal mass should always suggest the possibility of a sciatic hernia.

Giant Gluteal Lipoma. A Case Report

“…Lesiones de esta magnitud pueden asociarse a compresión del nervio ciático (López-Tomassetti Fernández et al, 2012); y lipomas de esta localización pueden manifestarse como una hernia ciática (Skipworth et al, 2006;Dulskas, et al, 2013).…”

Combined anterior‐posterior approach with enlarged sciatic foramen to remove sciatic notch dumbbell‐shaped tumors

“…Because the mechanical integrity of the iliac was maintained, no reconstruction was needed and healing time was not increased because of fracture. In 2013, Dulskas reported a case of cross sciatic‐foramen lipoma. The transabdominal approach was used with the help of an assistant to push the mass outside the pelvis into the pelvic area.…”

“…Considering the complex anatomical situations in the retroperitoneal space, this type of tumor is very difficult to resect, often thought to be unresectable by many surgeons. Although there have been several reports in recent years on this type of tumor, most are case reports . A standard surgical procedure has not been created.…”

“…Pelvic retroperitoneal dumbbell-shaped soft tissue tumor has a very rare incidence and is hard to treat. [1][2][3][4][5][6][7][8][9] Because of the large potential retroperitoneal space, the tumor often grows without any initial symptoms. When a magnetic resonance imaging (MRI) examination reveals the tumor only after the patient feels discomfort, the tumor has generally already become very large, sometimes large enough to penetrate the greater sciatic foramen, thus a dumbbell-shaped tumor is formed.…”

“…Although there have been several reports in recent years on this type of tumor, most are case reports. [6][7][8][9] A standard surgical procedure has not been created.…”