2022, Number 3
<< Back Next >>
Gaceta Médica Espirituana 2022; 24 (3)
Sacral angiolipoma. A case report
Betharte SY, Mosquera BG, Téllez IR, Hernández GEH, Creagh GJ
Language: Spanish
References: 10
Page:
PDF size: 230.13 Kb.
ABSTRACT
Background:
Angiolipomas are benign tumors that appear in adults with special location in the posterior thoracic epidural position.
Objective:
To present a case that appeared with a lumbosacral axial trauma where a non-common lesion location was evidenced with no relation among the structures of the spinal canal.
Case presentation:
25-year-old man who fell down, consequently suffered a painful direct trauma to the sacrococcygeal region and increased regional volume, associated with gluteal paresthesias. Radiological studies showed a fracture of the coccyx and presence of a lesion located in the soft tissues, with a rounded, homogeneous, solid aspect, a little more than 50 mm in diameter. Surgical treatment consisted of subperiosteal coccygectomy and macroscopic excision of the mass. Histological study concluded the diagnosis of an angiolipoma.
Conclusions:
Angiolipomas are rare tumors with peculiar radiological features, they require high clinical-imaging suspicion for studies and treatment. Total excision is recommended to avoid recurrence and improve prognosis.
REFERENCES
Mosquera Betancourt G, Hernández González EH. Generalidades de los tumores de la región sacrococcígea. Gac Méd Espirit [Internet]. 2015 [citado 7 Abr 2022];17(3):[aprox.14p.]. Disponible en: Disponible en: http://revgmespirituana.sld.cu/index.php/gme/article/view/1063/pdf_71 1.
Gelabert-González M, García-Allut A. Spinal extradural angiolipoma: report of two cases and review of the literature. Eur Spine J [Internet]. 2009 [cited 2022 Apr 7];18(3):324-35. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899409/pdf/586_2008_Article_858.pdf 2.
Rkhami M, Kedous MA, Achoura S, Zehani A, Bahri K, Zammel I. Epidural angiolipoma: A rare cause of spinal cord compression. Int J Surg Case Rep [Internet]. 2018 [cited 2022 Apr 7];45:72-76. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000995/pdf/main.pdf 3.
Kang HI, Kim TW, Kim EJ, Park KH. Angiolipoma on the Lumbar Spine. Korean J Spine [Internet]. 2017 [cited 2022 Apr 7];14(3):112-114. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5642094/pdf/kjs-14-3-112.pdf 4.
Aversa do Souto A, Domingues FS, Chimelli L, Lemos AM. Lumbosacral angiolipoma: Case report. Arq Neuropsiquiatr [Internet]. 2003 [cited 2022 Apr 7];61(2A):269-73. Available from: Available from: https://www.scielo.br/j/anp/a/zvBhRMw3WHFzgyMp5DqJNfB/?format=pdf&lang=en 5.
Benvenutti-Regato M, De la Garza-Ramos R, Caro-Osorio E. Thoracic epidural spinal angiolipoma with coexisting lumbar spinal stenosis: Case report and review of the literature. Int J Spine Surg [Internet]. 2015 [cited 2022 Apr 7];9:67. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4710163/pdf/IJSS-9-14444-2067.pdf 6.
Konya D, Ozgen S, Kurtkaya O, Pamir NM. Lumbar spinal angiolipoma: case report and review of the literature. Eur Spine J [Internet]. 2006 [cited 2022 Apr 7];15(6):1025-1028. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489428/pdf/586_2005_Article_1028.pdf 7.
Bouali S, Maatar N, Bouhoula A, Abderrahmen K, Said IB, Boubaker A, et al. Spinal epidural angiolipomas: Clinical characteristics, management and outcomes. Asian J Neurosurg [Internet]. 2016 [cited 2022 Apr 7];11(4):348-351. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4974956/pdf/AJNS-11-348.pdf 8.
Gala FB, Aswani Y. Imaging in spinal posterior epidural space lesions: A pictorial essay. Indian J Radiol Imaging [Internet]. 2016 [cited 2022 Apr 7];26(3):299-315. Available from: Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5036327/pdf/IJRI-26-299.pdf 9.
Urculo E, Samprón N, Alfaro R, Arrazola M, Linazasoro G. Compresión medular por lipoma epidural dorsal. Neurocirugía [Internet]. 2008 [citado 7 May 2022];19(2):1556-60. Disponible en: Disponible en: https://scielo.isciii.es/pdf/neuro/v19n2/7.pdf 10.