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Eur J Cardiothorac Surg 2001;19:361
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Intramuscular lipoma of the intercostal muscle – the source of hour-glass transmural thoracic lipomas?

C.S. Carr, R. Rawlins, P.A. O'Keefe

Department of Thoracic Surgery, Guys Hospital, St Thomas Street, London SE1 9RT, UK

Received 6 July 2000; received in revised form 13 December 2000; accepted 17 January 2001.

Corresponding author. Department of Cardiac Surgery, St Thomas’ Hospital, Lambeth Palace Road, London, SE1, UK. Tel.: +44-20-7928-9292; fax: +44-20-7955-4858
e-mail: noahalkh{at}talk21.com

A 36-year-old man presented with a left chest mass. Computerised tomography showed an hour-glass lesion with displacement of the lung (Figs. 1 and 2). After tumour excision from the intercostal space, histology confirmed a well-circumscribed intramuscular lipoma, which may explain the hour-glass nature in the thorax.



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  		Fig. 1. Computerised tomography scan showing laterally placed lesion straddling the intercostal space.

 


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  		Fig. 2. Computerised tomography scan showing pulmonary windows with some displacement of lung parenchyma.

 




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