Lipectomía cervical en tres tiempos en un caso de lipomatosis simétrica múltiple

Abstract

Introduction and objective: Madelung disease is a rare pathology of adipose tissue which is characterized by the accumulation of non-encapsulated fatty tissue in neck, shoulder, thorax and proximal extremity. In some cases it originates very striking aesthetic deformities. Method: We present a case of Madelung disease treated in our department that caused a great aesthetic deformity and functional impotence in the patient. Results: A cervical lipectomy was performed in three times due to the severity of the case to reduce possible complications. Discussion: The etiology of multiple symmetric lipomatosis is unknown although there are several hypotheses and almost constant associations with some chronic processes, especially alcoholism. Various treatments have been tried although the only one that has been effective is surgery. Conclusions: The etiology is unknown and the differential diagnosis includes several entities.Surgery is reserved for aesthetic reasons or functional compromise due to the difficulty of resection and risk of recurrence.