Fibrolipoma of the left ventricle: an uncommon incidental autopsy finding

  • Kleio Fragkouli
  • Antigoni Mitselou
  • Theodore VougiouklakisEmail author
Images in Forensics
Part of the following topical collections:
  1. Topical Collection of Images in Forensics


Fibrolipoma of the heart is an unusual benign tumorous entity encountered, if present, during an ordinary imaging workout or at autopsy. It is often clinically silent but it can also be symptomatic depending on the size and location of the tumor. We report a case of an 82-year-old man with a medical history of malignant pleural mesothelioma. The decedent was referred to our department to undergo a forensic autopsy after a fall. Postmortem examination revealed a large encapsulated gelatinous, yellowish cardiac mass with its pedicle on the subendocardial region of the left ventricular anterior wall and interventricular septum, protruding into the left ventricular cavity. Histological examination confirmed the diagnosis of cardiac fibro-lipoma, a rare histologic variant of lipoma, irrelevant to the cause of death in the present case. The rarity of the occurrence of fibro-lipomas provides clinical implications for the inclusion of the entity in the differential diagnosis of a cardiac mass.


Fibrolipoma Cardiac lipoma Cardiac tumor Forensic autopsy 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Kleio Fragkouli
    • 1
  • Antigoni Mitselou
    • 1
  • Theodore Vougiouklakis
    • 1
    Email author
  1. 1.Department of Forensic Medicine and ToxicologyUniversity of IoanninaIoanninaGreece

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