Kronik diz effüzyonunun nadir bir sebebi: Lipoma arborescens

Yıl 2017, , 188 - 190, 22.10.2017

Samet Sancar Kaya , Yakup Erden

https://doi.org/10.5472/marumj.370864

Öz

Lipoma arboresens (LA) genellikle dizde görülen nadir bir

intraartiküler benign lezyondur. LA, kronik ve ağrısız şişlik ile

presente olur. Tanı, manyetik resonans görüntülemede (MRG)

LA’ya ait spesifik görüntülerin izlenmesi ile kolaylıkla konulur.

Tedavisi sinoviyektomidir. Bu yazımızda, 30 yaşında sağ dizde

LA tanısı konulan bir hasta sunuldu. Hastanın 1 yıldır sağ dizinde

tekrarlayan effüzyon atakları ile birlikte suprapatellar poşta kronik

şişliği vardı. MRG’de tüm sekanslarda yağ doku ile izointens

sinyal veren sinoviyal villöz proliferasyonların izlenmesi ile

hastaya LA tanısı konuldu. LA kronik diz effüzyonlu hastaların

ayırıcı tanısında akılda tutulmalıdır.

Anahtar Kelimeler

Lipoma arboresens, Sinoviyal hiperplazi, Eklem içi lipom

A rare cause of chronic knee effusion: Lipoma arborescens

Öz

Lipoma arborescens (LA) is a rare intra-articular benign lesion

commonly found in the knee. LA presents with chronic painless

swelling. Diagnosis is easily done by specific signs of LA on

magnetic resonance imaging (MRI). Typically, LA is treated by

open or arthroscopic synovectomy. A 30-year-old male patient was

admitted with swelling in his right knee. He had chronic swelling

of the suprapatellar bursa with recurrent episodes of effusion in his

right knee for 1 year. He was diagnosed with LA by monitoring

synovial villous proliferations that signal isointense with adipose

tissue in all sequences on MRI. LA is a disease that should be

remembered in patients with recurrent effusions in the knee joint.

MRI plays an important role in diagnosis.

Anahtar Kelimeler

Lipoma arborescens, Synovial hyperplasia, Intraarticular lipoma

Kaynakça

• Ryu KN, Jaovisidha S, Schweitzer M, Motta A O, Resnick D. MR imaging of lipoma arborescens of the knee joint. AJR 1996;167:1229-32. doi: 10.2214/ajr.167.5.8911186
• Kloen P, Keel SB, Chandler HP, et al. Lipoma arborescens of the knee. J Bone Joint Surg Br 1998;80:298-301.
• Patil PB, Kamalapur MG, Joshi SK, Dasar SK, Rao RV. Lipoma arborescens of knee joint: role of imaging. J Radiol Case Rep 2011; 5: 17-25. doi: 10.3941/jrcr.v5i11.783.
• Feller J, Rishi M, Hughes E. Lipoma arborescens of the knee: MR demonstration. AJR Am J Roentgenol 1994;163:162-4. doi: 10.2214/ajr.163.1.8010204
• Wolf RS, Zoys GN, Saldivar VA, et al. Lipoma arborescens of the hip. J Rheumatol 2002; 29 (5) : 1088-92.
• Mohammad HR, Chaturvedi, A, Peach C. An unusual case of lipoma arborescens. The Annals of The Royal College of Surgeons of England, 2016, 98.7: 126-129.
• Aydın G, Keleş I, Tosun Ö, et al. Lipoma arborescens in childhood: a report of two sisters. Archives of Rheumatology, 2012, 27.1: 056-062.
• Yah CH, Wong JWK, Yip DKH. Bilateral knee lipoma arborescens: A case report. J Orthop Surg 2008;16:107-10. doi: 10.1177/230949900801600125
• Vilanova JC, Barcelo J, Villalon M, et al. MR imaging of lipoma arborescens and the associated lesions. Skeletal Radiology 2003; 32:504-9. doi: 10.1007/s00256-003-0654-9
• Sheldon PJ, Forrester DM, Learch TJ. Imaging of intraarticular masses. Radiographics 2005; 25: 105-19. doi: 10.1148/rg.251045050
• Plotkin BE, Varma R. Lipoma Arborescens of the Knee in a 17 - year old man. Radiology Case Reports. 2008;3:01-05. doi: 10.2484/rcr.v3i2.164
• Murphey MD, Carroll JF, Flemming DJ, et al. Benign musculoskeletal lipomatous lesions1. Radiographics 2004; 24: 1433-66. doi: 10.1148/rg.245045120
• Erselcan T, Bulut O, Bulut S, et al. Lipoma arborescens; succesfully treated by yttrium-90 radiosynovectomy. Annals Nucl Med 2003; 17: 593-6.