Post Traumatic Pseudolipoma - Clinical Images

Abstract

A 50-year-old male without comorbidities came to the Shalya Tantra OPD (Ayurveda Surgery) on foot with the primary concern regarding swelling over forehead gradually growing in size since 17 months. He had underwent deceleration injury before 18 months while traveling in the bus. Initially swelling was small but gradually enlarged without any pain and other symptoms. Ultrasonography findings suggest sub-galeal lipoma, But clinical summary supports the sign and symptoms of pseudolipoma. The swelling was excised and sutured as per conventional surgery. Ultrasonography findings showing sub-galeal lipoma has characteristics like firm, fixed, immobile mass. ^[1] But in the clinical findings the swelling was semisolid, mobile, movable and positive slip-sign. The traumatic history over forehead supports the diagnosis of post traumatic pseudo-lipoma.