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Eur J Cardiothorac Surg 1998;13:609-611
© 1998 Elsevier Science NL

Case report

Gigantic primary lipoma of the diaphragm presenting with respiratory failure

Thoracic Surgery Department, 401 Army General Hospital, Athens, Greece

Received 9 July 1997; received in revised form 2 February 1998; accepted 24 February 1998.

Corresponding author. 82 Soph. Venizelou, GR-152 32 Chalandri, Greece. Tel.: +30 93 568353; e-mail: icp@hol.gr

Primary diaphragmatic lipomas are rare. A 66-year-old female case is reported, with the unusual presentation of progressive dyspnoea leading to respiratory failure, mainly because of a large fatty mass occupying the base of the left hemithorax. The completely resected mass (16x14.5x5.5 cm) was a primary diaphragmatic lipoma. The literature is discussed. We recommend surgical exploration since the possibility of liposarcoma cannot be excluded.

Key Words: Thoracotomy • Neoplasm • Benign • Thoracic surgery • Computed tomography • Human

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