Abstract
Background: Madelung's disease is a rare lipid metabolic disorder characterized by diffuse and symmetrical adipose tissue deposits in the subcutaneous fascial spaces, presenting with multiple painless masses throughout the body. The disease is more common in middle-aged adults with a history of chronic alcohol consumption. Case Report: This article reports a case of Madelung's disease from Romania in a 67-year-old man admitted to our department for multiple adipose masses located in the neck and upper back. MRI examination of the head and neck revealed symmetrical and non-encapsulated fat deposition. Surgical intervention was performed to resect the adipose masses. The article also discusses the etiology, clinical manifestations, diagnosis, and surgical treatment of large adipose lesions. Conclusions: This case report provides insights for the diagnosis and treatment of Madelung's syndrome.