Giant Lower Back Lipoma in Pediatric : A Case Report

Yustinus Robby Budiman Gondowardojo , Donny Argie

Yustinus Robby Budiman Gondowardojo
Surgery Department Neurosurgery Division Prof. Dr. WZ Johannes Hospital, Kupang. Email:

Donny Argie
Surgery Department Neurosurgery Division Prof. Dr. WZ Johannes Hospital, Kupang
Online First: August 03, 2017 | Cite this Article
Gondowardojo, Y., Argie, D. 2017. Giant Lower Back Lipoma in Pediatric : A Case Report. Bali Medical Journal 6(3): 554-556. DOI:10.15562/bmj.v6i3.582

Backgrounds : Lipoma is the most common soft-tissue mesenchymal neoplasm in adults. Lipoma that sized over 10 cm and weighed over 1000 grams is considered giant lipoma. Giant lipoma, especially in children are rare, so it represent a real diagnostic and therapeutic challenge. In this case report, we report a further case.

Case : A three-year-old girl with a history of progressive growing mass on the lower back since born resulting in pain. CT scan with contrast shows soft tissue mass with fat content sized 6,1 x 12,1 x 12,7 cm without contrast enhancement. Surgical excision was performed to completely remove the tumor. Histopathology examination confirmed the diagnosis of lipoma.

Conclusion : Pediatric giant lipomas are rare, when they occur an appropriate work up must be done. This should be followed by adequate open surgical excision and repeat examination over time to monitor for recurrence.


Pimenta Rui. Giant Buttock Lipoma with an Atypical Presentation as a Sciatic Hernia – Case Report. Orgao Oficial Da Sociedade Portuguesa De Reumatologia : Acta Reumatol Port. 2013; 38

Waqar SH, Abdullah M Tariq, Khan Sher A, et al. Giant Lipoma of the Thigh. Ann. Pak. Inst. Med. Sci. 2014; 10(1) 57-59

Gulcer Olay, Mutlu Serhat, Mahirogullari Mahir. Giant Lipoma of the Back Affecting Quality of Life. Annals of Medicine and Surgery 4 (2015) 279-282

M.R. Sanchez, F.M. Golomb, J.A. Moy, J.R. Potozkin, Giant lipoma: case report and review of the literature, J. Am. Acad. Dermatol. 28 (2 Pt 1) (1993) 266-268.

Patel Shruti, Jindal Saurabh, Singh Mohinder. Giant Lipoma of the Posterior Neck - A Rare Entity. JIMSA October-December 2012. Vol. 25 No. 4

Eryilmaz Mehmet Akif, Yucel Abitter, Aricigil Mitat. Cervico-Thoracic Giant Lipoma in a Child. Turkish Archives of Otorhinolaryngology. 2016

Lopez E. M., Fernandez Tomassetti et al. Intermuscular Lipoma of the Gluteus Muscles Compressing the Sciatic Nerve : An Inverted Sciatic Hernia. J Neurosurg 117 : 795-799. 2012

Serbest S, Tiftikci U, Kesgin E, Tosun H. B. Giant Lipoma of the Upper Back : A Case Report. Our Dermatol Online. 2015; 6(4) : 447-449.

Abdulsalam T, Osuafor CN, Barnett M, et al. A Giant Lipoma. BMJ Case Rep. Published Online. (23 August 2015)

Akinkunmi M, Balogun B, Awosanya G, Fadeyibi I, Benebo AS, Soyemi S, Obafunwa J. Giant Fibrolipoma Of The Thigh In A Nigerian Woman: A Case Report. The Internet Journal of Radiology. 2010; 12(2). DOI: 10.5580/1964.

Hombal PR. Giant Gluteal Lipoma : A Case Report and Review of Literature. International Journal of Surgery and Medicine(2015) 1 (1); 26-29

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