Giant lipoma of the anterior abdominal wall masquerading as ventral hernia: A clinical diagnostic dilemma!

Lipoma, the so called 'ubiquitous tumour' can occur anywhere in the human body. It is usually asymptomatic and rarely grows to enormous size. The anterior abdominal wall is one of the common sites for its occurrence and when 'large' mimics other surgical conditions causing a diagnostic dilemma. We present a 56-year-old lady who came with a large swelling in the lower abdomen clinically mimicking an irreducible ventral hernia. Investigations revealed it to be a soft tissue neoplasm. Excision was done and the final histopathology revealed it to be a 'giant' lipoma.