CC BY 4.0 · Journal of Health and Allied Sciences NU 2024; 14(03): 436-439
DOI: 10.1055/s-0043-1772822
Case Report

An Account of a Giant Adolescent Vulvar Lipoma

Garima Vats
1   K. S. Hegde Medical Academy, Mangaluru, Karnataka, India
,
Aureen DCunha
2   Department of Pediatric Surgery, K. S. Hegde Medical Academy, Mangaluru, Karnataka, India
,
Sandeep B. Rai
2   Department of Pediatric Surgery, K. S. Hegde Medical Academy, Mangaluru, Karnataka, India
,
U. Raghuraj
3   Department of Radiodiagnosis, K. S. Hegde Medical Academy, Mangaluru, Karnataka, India
› Author Affiliations

Abstract

Though they are commonly known as “universal tumors,” lipomas are rarely found in the vulva. In this report, we discuss the case of a 15-year-old girl who presented with an enormous (26.5 × 21.5 × 6.5 cm) left labial swelling that had been progressively enlarging for a year and had led to extensive distortion of the vulvar anatomy. Following imaging, surgical excision with vulvar reconstruction was performed focusing on esthesis and function. Pathological examination confirmed the clinical and radiological diagnosis of a lipoma. The patient is doing clinically well at 1 year of follow-up with significant improvement in her academic performance and self-esteem.

Implications and Contributions

Given the importance of esthesis and functionality in the world today, we present the case of the largest vulvar lipoma documented in the literature, summarizing the presentation, workup, recommended management, and proposed etiology of the condition.


Patient Consent

Informed written patient consent was taken as personal details and clinical photographs have been included.




Publication History

Article published online:
28 August 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Li S, Haag T, McWhorter J, Ge L, Carlan SJ. Unilateral giant vulvar lipoma with fat necrosis not visualized on magnetic resonance imaging (MRI). Am J Case Rep 2019; 20: 1760-1764
  • 2 Jóźwik M, Kołodziejczak M, Klonowska-Dziatkiewicz E, Jóźwik M. Giant vulvar lipoma in an adolescent girl: a case study and literature review. J Pediatr Adolesc Gynecol 2014; 27 (05) e117-e119
  • 3 Oh JT, Choi SH, Ahn SG, Kim MJ, Yang WI, Han SJ. Vulvar lipomas in children: an analysis of 7 cases. J Pediatr Surg 2009; 44 (10) 1920-1923
  • 4 Kehagias DT, Smyrniotis VE, Karvounis EE, Gouliamos AD, Creatsas G. Large lipoma of the vulva. Eur J Obstet Gynecol Reprod Biol 1999; 84 (01) 5-6
  • 5 Lee JH, Chung SM. Large vulvar lipoma in an adolescent: a case report. J Korean Med Sci 2008; 23 (04) 744-746
  • 6 Sukgen G. A case report: the third-largest case in the literature of a vulvar lipoma. Gynecol Minim Invasive Ther 2020; 9 (04) 234-236
  • 7 O'Brien C, Hoover K, Arbuckle J. Giant vulvar lipoma in adolescent. J Pediatr Adolesc Gynecol 2018; 31 (02) 211
  • 8 Szanecki W, Golonka A, Pajak J. et al. Two unusual cases: vulvar lipoma - description of the largest case in literature. Developing myoma with the longest pedicle. Eur J Gynaecol Oncol 2017; 38 (02) 286-289
  • 9 Dewhurst CJ. Tumors of the genital tract in childhood and adolescence. Clin Obstet Gynecol 1977; 20 (03) 595-606
  • 10 Tsoutsoplides GC. Surgical management of extensive congenital hemangiofibrolipoma of the vulva in an infant. Am J Obstet Gynecol 1980; 136 (02) 260-261
  • 11 Fukamizu H, Matsumoto K, Inoue K, Moriguchi T. Large vulvar lipoma. Arch Dermatol 1982; 118 (06) 447
  • 12 Van Glabeke E, Audry G, Hervet F, Josset P, Gruner M. Lipoma of the preputium clitoridis in neonate: an exceptional abnormality different from ambiguous genitalia. Pediatr Surg Int 1999; 15 (02) 147-148
  • 13 Numajiri T, Nishino K, Sowa Y, Konishi K. Congenital vulvar lipoma within an accessory labioscrotal fold. Pediatr Dermatol 2011; 28 (04) 424-428
  • 14 Chawla S. Inguinal hernia in females. Med J Armed Forces India 2001; 57 (04) 306-308
  • 15 Chan D, Kwon JK, Lagomarsino EM, Veltkamp JG, Yang MS, Pfeifer CM. Canal of Nuck hernias. Acta Radiol Open 2019; 8 (12) 2058460119889867