Surgical Management of Giant Gluteal Lipoma

(A) Posterior view of the patient’s lipoma. (B) Lateral view of the patient’s lipoma.

90-year-old patient presented with a giant gluteal lipoma of the right hip with a history of 20 years.

A 90-year-old male patient presented with a 20-year history of a giant gluteal lipoma. The painless mass slowly grew in size over the years on the patient’s right hip. However, despite being well-aware of the slow-growing mass, the patient refused any treatment.

He was referred for surgical consultation by his family doctor because of an abnormal gait and unbalanced walking. A preliminary diagnosis of a benign lipoma was made. To confirm the diagnosis, a CT scan was performed. However, because of the size of the lesion it could not be scanned entirely.

Imaging showed that the tumour-like lipoma was in contact with the sacrum, the ischiadicum and the greater trochanter. In addition to this, an infiltration of the flexor’s muscles of the right leg were also suspected. The lipoma was mainly vascularised by the enlarged superior gluteal artery.


The surgical team advised removal of the mass surgically. The patient and family were adequately explained the pros and cons of the intervention before the surgical procedure was performed. The lipoma removed measured 30 x 60 cm and weighed 20 kg.


The mass was biopsied and sent for a histopathological analysis which confirmed that the tumour was benign. For functional reconstruction of the gluteal region, the skin was preserved. The process of wound management was simple with an unremarkable postoperative period.

The patient was referred for intensive physiotherapy to help him recover his walk. After 5 weeks of therapy, he was able to walk independently.


Giant gluteal lipoma surgical management

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Dr. Aiman Shahab is a dentist with a bachelor’s degree from Dow University of Health Sciences. She is an experienced freelance writer with a demonstrated history of working in the health industry. Skilled in general dentistry, she is currently working as an associate dentist at a private dental clinic in Karachi, freelance content writer and as a part time science instructor with Little Medical School. She has also been an ambassador for PDC in the past from the year 2016 – 2018, and her responsibilities included acting as a representative and volunteer for PDC with an intention to make the dental community of Pakistan more connected and to work for benefiting the underprivileged. When she’s not working, you’ll either find her reading or aimlessly walking around for the sake of exploring. Her future plans include getting a master’s degree in maxillofacial and oral surgery, settled in a metropolitan city of North America.


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