# Hidden in Muscles: A Case Study of Intramuscular Lipoma

## TL;DR

A 64-year-old man had a large lipoma in his muscle, which was diagnosed with MRI and surgically removed.

## Contribution

This case highlights the diagnostic and surgical challenges of intramuscular lipomas.

## Key findings

- MRI confirmed a giant intramuscular lipoma in the latissimus dorsi muscle.
- Surgical excision and histopathology confirmed the diagnosis.
- Comparative analysis showed variations in surgical approaches for similar cases.

## Abstract

This case report presents a 64-year-old male with a giant intramuscular lipoma on the right lumbar region's latissimus dorsi muscle. The patient presented with painless swelling, which gradually increased over six years. Magnetic resonance imaging (MRI) confirmed the presence of the lipoma, prompting surgical intervention. The surgical procedure involved meticulous dissection and complete excision of the tumor. Histopathological examination validated the diagnosis. Comparative analyses with similar cases highlighted variations in surgical approaches and the challenges in managing intramuscular lipomas. This case emphasizes the importance of considering intramuscular lipomas in soft tissue mass differentials and the significance of comprehensive management strategies for optimal patient outcomes.