Jibi Inkoka, Tokeibu Geka Volume 78, Issue 8 (July 2006)

Benign symmetric lipomatosis accompanied with infection:A case report Hirokazu Tanaka 1 1Department of Otorhinolaryngology,Aichi Medical University pp.577-580
Published Date 2006/7/20
DOI https://doi.org/10.11477/mf.1411100722
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 A 26-year-old man consulted our hospital with a chief complaint of throat pain and left cervical swelling. The swelling was symmetrical,a so-called“horse-collar deformity”,and his left neck was diffusely indurated. However,only slight erythema in the oropharynx was observed. Enhanced CT revealed edematous swelling of subcutaneous adipose tissues with more swelling in the left neck than the right. There was also a swelling of the left sternocleidomastoid muscle and lymph nodes inside the muscle. Therefore,benign symmetric lipomatosis with a cervical phlegmon was diagnosed. This entity has not been reported in the past,but the phlegmon was initially controlled by intravenous antibiotics and steroids. However,if the infection progressed to an abscess,it could not be drained because of the large amount of cervical fat. He refused surgical excision of the fatty mass. In the future,an operation will be reconsidered when infection recurres.

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78巻8号 (2006年7月)
電子版ISSN 1882-1316 印刷版ISSN 0914-3491 医学書院