The battered buttock syndrome-fat fractures a report on a group of traumatic lipomata

Meggitt, B. F.; Wilson, Jon

doi:10.1002/bjs.1800590302

Cited by 61 publications

(47 citation statements)

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“…Deep-seated lipomas should always be taken into consideration when dealing with soft tissue masses. The mechanism for intermuscular lipomas remains unclear, and trauma was reported as a related factor (4,19,20). It was suggested that after a blunt trauma, rupture of the fibrous septa, which prevent the migration of fat, accompanied by tears of the anchorage between the skin and the deep fascia likely resulted in the proliferation of adipose tissue (20).…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism for intermuscular lipomas remains unclear, and trauma was reported as a related factor (4,19,20). It was suggested that after a blunt trauma, rupture of the fibrous septa, which prevent the migration of fat, accompanied by tears of the anchorage between the skin and the deep fascia likely resulted in the proliferation of adipose tissue (20). However, in the present patient, the tumor was believed to have already existed prior to the accident and became evident after being extruded from the surrounding tissues by the trauma, given the limited time period between the trauma and mass formation (20 days).…”

Section: Discussionmentioning

confidence: 99%

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Management of giant intermuscular lipoma of hips: A case report and review of literature

Liu

Chen

2013

Molecular and Clinical Oncology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of giant intermuscular lipoma of hips: A case report and review of literature

Liu

Chen

2013

Molecular and Clinical Oncology

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“…The initial report as to the possible role of trauma in the development of lipomas dates back to 1932 when Adair et al described two patients with lipomas secondary to trauma (13). This case debates Meggitt and Wilson's hypothesis which suggests that when excessive force is applied locally to adipose tissue, it may cause fat compartments to fracture, shearing of the anchoring between the skin and the deep fascia (14). This leads to pouting of adipose tissue, resulting in PTL after the bruising and haematoma settle down.…”

Section: Discussionmentioning

confidence: 75%

Case key about pseudolipomas pathogenesis

Gualdi¹

2014

CDERM

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SummaryIn soft tissues the most common benign tumor is lipoma and has an incidence of 1%. It affects the entire body and both males and female are equally affected, especially in obese patients (1). This neoplastic lesion develops on the fat mesenchimal cells. Predominantly located in the subcutaneous tissue layer, lipomas are rarely present in intermuscular, subfascial, retroperitoneal, mediastinal, gastrointestinal or intraneural areas (2). There are sometimes multiple lipomas, usually painless, asymptomatic, and grow slowly and expand without infiltrating neighboring structures. Pains can occur only when the lesion compresses the nerves causing irritation. When lipomas are located between the skin and the deep fascia, the classical aspect includes a soft, fluctuant feel, lobulation and non adherent of overlying skin. Lipomas are easily removed surgically because they are well demarcated, disc shaped, round or ovoid, lobulated, yellow masses with a doughty consistency (3). Among lipomas literature shows that some of that is different because are not constituted by a surrounding capsule on magnetic resonance imaging (MRI) and histologically less defined as lipomas (4). The first who suggested a relation between traumatic events and development of benign adipose tumors was Adair in 1932. In contrast to lipomas, pseudolipomas are usually encountered with a strong predominance in female patients (12:1). They are often localized at the lower extremity, and in trochanteric and gluteal regions, so pseudolipomas can be defined as a simple adipose tissue in an abnormal location subjected to a trauma (5, 6). Althought this topic are one of the most discussed, the etiology remained unknown, so in literature there are only hypothesis. However, the first description of PTL pathogenetic mechanism was proposed by Brooke and Mc Gregor: they assumed that soft tissue trauma lead to a prolapse of adipose tissue through Scarpa's fascia, and finally to pseudolipoma. Most of the information about the topic comes to us from the exposition of case reports asserting three different pathogenetic hypothesis: mechanical, endocrinological and inflammatory. Our case report confirms the inflammatory one.KEY WORDS: pseudolipoma; post traumatic lipoma; inflammatory theory; squamocellular carcinoma; scalp tumor. MethodsIn December 2010 a 68-year-old male treated for chronic lymphatic leukemia was submitted to a surgical removal of the ulcerated nodular lesion (4x2 cm) in the front-parietal area. The histological exam confirmed the presence of a squamous cell carcinoma poorly differentiated with both lateral and deep borders free of neoplastic remaining (Figure 1). This surgical operation didn't remove the aponeurotic galea. However, for the second time, one year later the patient went to our dermatological and surgical department with a bulky recurrence on the first removal scar (Figure 2). The patient was re-operated in order to remove this neoplastic lesion and in addition, this time, also the aponeurotic galea was removed. In the galea was ...

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“…Blunt trauma is one of the possible reasons. Rupture of the fibrous tissue after blunt trauma may result in proliferation of the adipose tissue (10). In some cases lipomas are also associated with several syndromes such as Gardner's syndrome, Madelung's disease, and Dercum's disease (1,8).…”

Section: Introductionmentioning

confidence: 99%