Diaphragmatic Lipoma in a Woman with Rheumatoid Arthritis: A Case Report and Literature Review

Khaled Z. Alawneh; Liqaa A. Raffee; Khaldoon M. Alawneh; Husam Alawneh; Abdelwahab Aleshawi

doi:10.12659/AJCR.925174

11 October 2020: Articles

Diaphragmatic Lipoma in a Woman with Rheumatoid Arthritis: A Case Report and Literature Review

Challenging differential diagnosis, Rare disease

Khaled Z. Alawneh ^A* , Liqaa A. Raffee ^A , Khaldoon M. Alawneh ^A , Husam Alawneh ^B , Abdelwahab Aleshawi ^B

DOI: 10.12659/AJCR.925174

Am J Case Rep 2020; 21:e925174

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Table 1. Review of case studies that conducted diaphragmatic lipoma investigations.

No.	Author	Age	Sex	Location	Tumor size	Clinical features	Treatment modality
1	Margiotta et al. []¹¹	85	F	Right hemi-diaphragm	20×15×15 cm	Incidental (at autopsy)	Observation
2	Margiotta et al. []¹¹	45	M	Left pleural cavity, attached to the diaphragm	15×10×10 cm (1100 g)	Incidental (at autopsy)	Observation
3	Naomi et. al. []¹²	69	F	Left hemi-diaphragm		Incidental	Surgery
4	Cheon et al. []¹³	4	F	Right hemi-diaphragm	8.5×7×6 cm	Intermittent dry cough	Surgery
5	Smahi et al. []¹⁴	54	F	Left hemi-diaphragm	6×3.5 cm	Basithoracic pain	Surgery
6	Sakurai et al. []¹⁵	50	M	Base of left hemi-diaphragm		Incidental	Surgery
7	Sen et al. []¹⁶	67	M	Posterior region of the left hemi-diaphragm	5×5 cm	Incidental	Surgery
8	Vougiouklakisa et al. []¹⁷	39	F	Right hemi-diaphragm	25×20×18 cm (2850 g)	Incidental (at autopsy)	Observation
9	Oyar et al. []¹⁸	50	M	Bilateral and symmetric diaphragmatic crus lipomas	Diameter of the right: 14.7 mmDiameter of the left: 14.9 mm	Incidental	Observation
10	Oyar et al. []¹⁹	37	F	Left diaphragmatic crus		Incidental	Observation
11	Ferguson and Westcott []²⁰	69	M	Left hemi-diaphragm	Diameter: 8 cm	Incidental (at autopsy)	Observation
12	Ballon and Spector []²¹	45	F	Left hemi-diaphragm	4×3×1.5 cm	Incidental (at autopsy)	Observation
13	Shimizu et al. []²²	70	M	Left hemi-diaphragm		Incidental	Surgery
14	Aoyagi et al. []²³	65	M	Under left hemi-diaphragm		Incidental	Surgery
15	Aydin et al. []²⁴	56	F	Right hemi-diaphragm, posterolateral	7×5 cm	Chest pain	Surgery
16	Aydin et al. []²⁴	59	M	Right hemi-diaphragm, posterolateral	6×5 cm	Chest pain	Surgery
17	Aydin et al. []²⁴	77	F	Right hemi-diaphragm, posterolateral	6×4 cm	Chest pain and hemoptysis	Surgery
18	Aydin et al. []²⁴	54	M	Right hemi-diaphragm, posterolateral	5×5 cm	Cough, back pain, hemoptysis	Surgery
19	Aydin et al. []²⁴	65	F	Right hemi-diaphragm, posterolateral	8×5 cm	Cough, Sputum	Surgery
20	Papachristos et al. []²⁵	66	F	Left hemi-diaphragm, posterolateral	16×14.5×5.5 cm	Respiratory failure with progressive dyspnea and left pleuritic chest pain	Surgery
21	Clagett and Johnson []²⁶	45	F	Left hemi-diaphragm	–	Incidental (at autopsy)	Observation
22	Clagett and Johnson []²⁶	80	F	Right hemi-diaphragm	Diameter: 1 cm	Incidental (at autopsy)	Observation
23	Clagett and Johnson []²⁶	58	F	Right hemi-diaphragm	Diameter: 1 cm	Incidental (at autopsy)	Observation
24	Soderlund []²⁷	51	F	Left Hemi-diaphragm	Diameter: 6 cm	Severe left chest pain	Surgery
25	Pavlica []²⁸	78	M	Left hemi-diaphragm		Severe chest pain with fatal rupture of diaphragm following a severe episode of vomiting	Resulted in death
26	Clark []²⁹	65	F	Right		Incidental	Observation
27	Soto []³⁰	14	M	Left		Chest pain	Surgery
28	Weilgoni []³¹	57	M	Right		Incidental	Observation
29	Weilgoni []³¹	59	F	Left		Incidental	Observation
30	Weilgoni []³¹	68	F	Left		Incidental	Observation
31	Weilgoni []³¹	64	F	Left		Incidental	Observation
32	Weilgoni []³¹	75	M	Right		Incidental	Observation
33	Weilgoni []³¹	72	M	Right		Incidental	Observation
34	Weilgoni []³¹	69	M	Left		Incidental	Observation
35	Our case	52	F	Right		Incidental	Observation
F – Female; M – Male.

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Diaphragmatic Lipoma in a Woman with Rheumatoid Arthritis: A Case Report and Literature Review

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