Surgical treatment in a case of giant macrodystrophia lipomatosa of the forefoot

Vol. 58 No. 3, 2017

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

Romulus Fabian Tatu, Dan Nelu Anusca, Alis Liliana Carmen Dema, Lucian Petru Jiga, Mihai Hurmuz, Carmen Sofica Tatu, Mihai Ionac, Monica Adriana Vaida

Macrodystrophia lipomatosa is a rare, congenital, non-hereditary disease, characterized by local gigantism of the fingers or toes. We report the case of a 37-month-old boy, with no prior past medical history, who presented with a gigantic dystrophy of the left forefoot. The location of the deformity was involving the plantar and dorsal aspect of the foot, and digits 1 to 4. After clinical examination, imaging study assessment, and differential diagnosis considerations, it was established that macrodystrophia lipomatosa was the cause of the deformity. A reconstructive surgical intervention was planned. The hypertrophied tissues were excised, resulting in a reduction in the forefoot s volume. The patient had a favorable postoperative course and ambulation was allowed with a custom-made shoe. The case represents a rare pathological entity with complex diagnostic and therapeutic considerations. As far as treatment options, the surgeon must decide between a reconstructive surgical intervention and amputation.

Corresponding author: Mihai Hurmuz, MD, PhD Student; e-mail: hurmuz_mihai@yahoo.com

Download PDF
Download cover
Download contents

Journal archive