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case_images: A 26-year-old woman with deformed lower limbs. She underwent four operations but could not improve.
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case_images: Upon examination, both lower limbs appeared enlarged and deformed (Fig. 1), though muscle strength and sensation were normal.
case_images: X-ray shows dysplasia and subluxation of the right hip (Crowe III).
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case_images: X-ray imaging identified dysplasia and subluxation of the right hip (Crowe III) (Fig. 2), and MRI scans showed fat accumulation in the buttocks.
case_images: During THA, a large amount of adipose tissue around the joint was found, which was carefully separated and resected.
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case_images: During the operation, a significant amount of adipose tissue around the joint was observed (Fig. 3), which was meticulously separated and excised.
case_images: This MRI shows compression and inflammatory changes of the left sciatic nerve in the gluteal segment in T2WI.
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case_images: Ultrasound and MRI indicated compression and inflammatory changes in the left sciatic nerve at the gluteal segment (Fig. 5).
case_images: A. During the secondary operation, the sciatic nerve was dissected and separated, presenting swollen and congestive. B The epineurium of the sciatic nerve was incision to decompression.
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case_images: A large amount of adipose tissue was removed, and the sciatic nerve was exposed, appearing swollen and congestive (Fig. 6).
case_images: Under the microscope, many mature adipocytes and a small quantity of fibrous tissue can be seen.
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case_images: Pathology confirmed diffuse lipomatosis (Fig. 7).