Fat Necrosis in Axillary Lipoma after FNAC - A Case Report

Lipomas are benign soft tissue tumours having mature adipose tissue. These lesions are the most common soft tissue tumours, accounting for approximately 50 % of all soft tissue tumours.1 Lipomas are mostly located within the superficial soft tissues of the extremities, back, and neck. These lesions are asymptomatic, but due to the superficial location these lesions, they commonly present less than 5 cm in size.2 Lipomas deep to the superficial fascia also occur, but are rare. These lesions may be intramuscular or intermuscular and mostly occur in the lower extremity. Following accidental trauma fat necrosis can be seen, and the patient presents with pain at the site of lipoma with discoloration of skin. It can be confidently diagnosed on ultra-sonography, without further need of any investigation. Here, we are discussing USG, Doppler and Strain Elastography imaging findings in a middle-aged lady having fat necrosis within axillary lipoma. Lipoma are relatively common benign lesions and can arise from anywhere in the body. Fat necrosis is common following accidental trauma.

Importance of Ultrasonography in Inspissated Bile Syndrome in a Neonate - A Case Report

Neonatal cholestasis is the diagnostic dilemma in clinical practice.1 It is a serious condition with the varied aetiological factors. Biliary atresia, hepatitis, choledochal cyst are common causes in neonates. Intrahepatic and extrahepatic causes can be easily differentiated by radiological investigations.2 Inspissated bile syndrome is a rare cause of neonatal jaundice.3,4 Predisposing factors for the development of inspissated bile in neonates include haemolysis, prematurity, parenteral nutrition, sepsis, and diuretic therapy.5 Ultrasonography is valuable in diagnosing the causes of obstructive jaundice especially in neonates where computed tomography scan cannot be done due to radiation exposure and MRI cannot be done due to the motion artefacts. Hepatobiliary scintigraphy single-photon emission computer tomography (HBS SPECT) is the most reliable diagnostic method. Generally, inspissated bile resolves spontaneously, but sometimes patient needs ursodeoxycholic acid. Rarely surgical drainage is also needed.Inspissated bile syndrome is a rare cause of neonatal jaundice. It is extrahepatic obstruction due to sludge of inspissated bile. We present a case of 8 days old child who presented with jaundice. Total bilirubin was raised mainly due to high levels of unconjugated bilirubin.