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Extravascular lipoma over the subclavian vein
  1. Imran Thariq Ajmal1,
  2. Amrithraj Thiyagarajan1,
  3. Felix Anand1 and
  4. Venkiteswaran Muralidhar2
  1. 1Department of General Surgery, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India
  2. 2General Surgery, Chettinad Academy of Research and Education, Kanchipuram, Tamil Nadu, India
  1. Correspondence to Dr Venkiteswaran Muralidhar; vxm297{at}student.bham.ac.uk

Abstract

A rare instance of extravascular lipomas located over the subclavian vein in a woman in her early 60s presented unique diagnostic and therapeutic challenges due to their close proximity to critical structures. Lipomas, which are the most commonly occurring benign soft tissue tumours, are typically composed of mature adipocytes. Although lipomas can develop in any region of the body, they are most commonly found in the subcutaneous tissues of the trunk and proximal limbs. Extravascular lipomas, especially those near major blood vessels like the subclavian vein, are extremely uncommon.

In this particular case, the tumour was extensively in contact with the right subclavian vein, though there was no intravascular involvement. The lipomatous tumour was successfully excised during surgery, with the subclavian vein and surrounding structures being preserved. Histopathological analysis confirmed the diagnosis of a benign lipoma. This case highlights the significance of early diagnosis, meticulous surgical planning and multidisciplinary collaboration to achieve the best possible outcomes.

  • General surgery
  • Vascular surgery

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: ITA, AT, FA and VM. The following authors gave final approval of the manuscript: ITA, AT, FA and VM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.