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Lipoma Arborescens-A Rare Cause of Monoarticular Knee Joint Swelling in Adolescents-Case Report

Author

Listed:
  • Vibhav Gandhi

    (Department of Orthopaedics, Punjab Institute of Medical Sciences, India)

  • Shagun Shory
  • Avinash Kumar

    (Department of Orthopaedics, Kalpana Chawla Government Medical College, India)

  • Ayushi Bansal

    (Department of Anaesthesiology, S.B.K.S. Medical Institute and Research Centre, India)

  • Nipun Aggarwal
  • Vipul Shory

    (Department of General Surgery, S.B.K.S. Medical Institute and Research Centre, India)

  • Mohit Jindal
  • Mohit Goyal

    (Department of Orthopaedics, Mata Gujri Memorial College, India
    Department of Pathology, Kalpana Chawla Government Medical College, India)

Abstract

Lipoma Arborescens is a slowly progressive intraarticular lesion of knee characterised by substitution of sub synovial tissue with fat cells and villous transformation of synovium [1]. It is a rare entity with limited literature. We present a case of lipoma arborescens in 17-year-old boy who presented with complaints of mono-articular swelling of left knee for 2 years with history of antecedent trauma. MRI showed frond like masses present in supra and infrapatellar region with high signal intensity on T1W and Intermediate signal intensity on T2W, consistent with fat. He was managed with open synovectomy which showed yellowish white polypoidal and villous masses of adipose tissue. Masses were sent for histopatholgy which showed hypertrophic villous projections of fat lined by synovial cells. Patient became asymptomatic postoperatively and improved functionally.

Suggested Citation

  • Vibhav Gandhi & Shagun Shory & Avinash Kumar & Ayushi Bansal & Nipun Aggarwal & Vipul Shory & Mohit Jindal & Mohit Goyal, 2019. "Lipoma Arborescens-A Rare Cause of Monoarticular Knee Joint Swelling in Adolescents-Case Report," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 14(3), pages 53-57, July.
    • Handle: RePEc:adp:joroaj:v:14:y:2019:i:3:p:53-57
    DOI: 10.19080/OROAJ.2019.14.555886
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