ABSTRACT
Copeman nodules or episacral lipomas are a very prevalent entity in the general population. They consist of subfascial fat herniations at the episacral region, through weakened areas of the overlying thoracodorsal fascia. They are usually bilateral and symmetric. Only in rare cases they are the cause of clinical manifestations. We present the case of a 63-year-old woman who presents with lumbar pain refractory to conventional treatments. Ultrasound examination suggests the diagnosis of Copeman nodules. The treatment of the patient is approached from a multidisciplinary perspective, finally deciding to operate the patient. After the intervention, the symptoms remitted shortly, allowing the patient to continue a normal life without discomfort or analgesic treatment.
Subject(s)
Lipoma , Low Back Pain , Fascia , Female , Hernia , Humans , Low Back Pain/diagnosis , Low Back Pain/etiology , Middle Aged , UltrasonographyABSTRACT
La ginecomastia es el desarrollo de una mama de características femeninas en el varón. Puede aparecer de manera fisiológica durante diferentes etapas de la vida o ser secundaria a un proceso patológico o a terapia farmacológica. Antes de clasificar cualquier ginecomastia de fisiológica debe realizarse un estudio exhaustivo a fin de descartar posibles procesos patológicos subyacentes. La mayor parte de los casos que precisan cirugía corresponden a sujetos jóvenes con ginecomastia fisiológica que no remite en un período prudencial de tiempo y que causan un hondo trastorno psicológico en el paciente (AU)
