EC Clinical and Medical Case Reports

Case Report Volume 9 Issue 3 - 2026

Lipodystrophic Hamartoma of a Nerve Associated with Macrodystrophia Lipomatosa: A Rare Case Report

Ihssane Lahlou1*, Fatma EL Mabrouk1, Laridi Aya1, Houda Bennani1, Toufga Zakaria2 and Saouab Rachida2

1Department of Radiology, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
2Radiology Department, Military Teaching Hospital Mohammed V, Mohammed V University, Rabat 10020, Morocco

*Corresponding Author: Ihssane Lahlou, Radiology Resident, Department of Radiology, Ibn Sina Hospital, Faculty of Medicine and Phar- macy, Mohammed V University, Rabat, Morocco.
Received: April 21, 2026; Published: June 26, 2026



Macrodystrophia lipomatosa is a rare congenital anomaly characterized by abnormal proliferation of fibrofatty tissue within a nerve territory, most commonly associated with a lipofibromatous hamartoma of the median nerve. We report the case of a 16-year- old patient who had surgery in childhood for macrodactyly of the first three fingers and now presents with recurrence. MRI revealed fatty hypertrophy infiltrating the soft tissues of the hand and enlargement of the median nerve with a “spaghetti-like” appearance, suggestive of a lipofibromatous hamartoma. Although benign, this entity presents a therapeutic challenge. Treatment is often symptomatic, and aesthetic amputation may be considered in severe cases.

Keywords: Median Nerve; Peripheral Nerve Tumor; MRI; Macrodactyly; Peripheral Nerve Tumor; Imaging Findings; Surgical Management

Ihssane Lahlou., et al. “Lipodystrophic Hamartoma of a Nerve Associated with Macrodystrophia Lipomatosa: A Rare Case Report”. EC Clinical and Medical Case Reports 9.3 (2026): 01-05.

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