DOI: 10.21276/sasjs.2018.4.2.5

Pages: 49-51

The carpal tunnel syndrome is the result of the median nerve compression most often of primitive origin; it is rarely secondary to a soft parts tumor of the hand, especially to lipomas. The aim of this study is to evaluate the rarity of a median nerve compression by a lipoma and to highlight its diagnostic difficulty. This study reports a case of carpal tunnel syndrome secondary to lipoma. This is a young woman aged 35 years old with a location on the palmar surface of the right hand. Histological examination confirmed the diagnosis, the patient had a monobloc excision of the lipoma associated with median nerve release, and the follow-up did not deplore any recurrence. Diagnosis of the carpal tunnel secondary to a lipoma is difficult, especially in the absence of a clinically palpable mass. Imagery is then important to confirm the diagnosis and to prepare the operative procedure. Excision is the necessary condition for ameliorating pain and preventing recurrence