Publication:

An atypical case of severe obesity, right hemi-diaphragmatic elevation and mediastinal liposarcoma

A giant anterior mediastinal malignancy coexisting with super-super obesity is a conundrum which presents a surgical management dilemma. We present a 29 year old female with a body metabolic Index (BMI) of 63.1 and an incidental chest x- ray finding of elevated right hemi-diaphragm during routine clinic visit. Imaging revealed a giant anterior mediastinal mass and radiography-guided biopsy showed a liposarcoma. She underwent a laparoscopic gastric bypass with significant weight loss following which she underwent a complete resection of the mass at a Body mass Index of 49.2. She is recurrence free one year post resection.