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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2025; 35(01): 184-187
DOI: 10.1055/s-0044-1788553
Case Report

The Fatty Dilemma: A Rare Instance of Extra- and Intravascular Lipoma of the Brachiocephalic Vein

Roja Hiregouja Eranna 
1   Department of Radiodiagnosis, Continental Hospitals, Hyderabad, Telangana, India
,
Suhasini Devi Pokanati
1   Department of Radiodiagnosis, Continental Hospitals, Hyderabad, Telangana, India
,
B. Rajkumar
1   Department of Radiodiagnosis, Continental Hospitals, Hyderabad, Telangana, India
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Abstract

Oftentimes, incidental findings are made on routine diagnostic imaging. An intra- and extravascular lipoma is one example of an important incidental finding. Intravascular lipomas are rare benign vascular tumors that are typically asymptomatic. They are most commonly found in the inferior vena cava but have also been recorded in the superior vena cava, brachiocephalic vein, subclavian vein, internal jugular vein, external jugular vein, and common femoral vein. Here, we presented the case of a 64-year-old female patient with an incidentally discovered intra- and extravascular lipoma affecting the right subclavian and brachiocephalic veins. While benign, intravascular lipoma on imaging can resemble a malignant tumor such as leiomyosarcoma or thrombus. As a result, appropriate identification and classification of this imaging finding is crucial for avoiding an exorbitant and futile workup.

Keywords

lipoma - intravenous lipoma - intra- and extravascular lipoma - brachiocephalic vein - intravascular tumor

Patient Consent

Informed consent was obtained from the patient for the publication of this case report and accompanying image.




Publikationsverlauf

Artikel online veröffentlicht:
17. Juli 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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