AI Article Synopsis
- A case study describes a 52-year-old male with an unknown cause of enlarged heart (cardiomegaly) who was found to have a massive lipoma (fatty tumor) in the pericardial space.
- Imaging showed a large mass resembling subcutaneous fat, with some dense areas, but it didn't absorb contrast dye typically used in scans.
- A biopsy confirmed the diagnosis, and the lipoma (weighing 620 g) was successfully surgically removed, showing mature adipose tissue and some necrosis.
Article Abstract
We report a rare case of massive left atrial lipoma occupying pericardial space. A 52-year-old male was admitted because of cardiomegaly of unknown etiology. Computed tomography showed a large epicardial mass located along the anterior surface of the heart, from the diaphragm level through the aortic arch level. The mass showed an attenuation value identical with that of subcutaneous adipose tissue and contained some areas with high density. The mass was not enhanced by contrast media. Histologic examination of the specimen obtained by percutaneous biopsy demonstrated mature adipose tissue. An encapsulated adipose mass weighing 620 g, which originated from the left atrium without any invasion to the pericardium, was completely excised. Microscopic examination revealed mature adipose tissue with partial necrosis, confirming the diagnosis of lipoma.
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| http://dx.doi.org/10.1536/jhj.45.715 | DOI Listing |
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