Occipital extra cranial lipoma in a young adult male: An uncommon presentation and review of the literature

Background: Lipomas are benign tumours composed of mature adipose tissue, commonly occurring on the trunk and extremities. Scalp lipomas are rare, particularly those arising in the occipital region. We report a rare case of a giant extracranial occipital lipoma in a young adult male and provide a critical appraisal of the related literature.Case Presentation: A 24-year-old male presented with a 4-year history of a progressively enlarging, painless swelling over the occipital region. The mass measured 15 x 15 cm, was soft, mobile, and non-tender. Computed Tomography (CT) of the head revealed a large, well-defined, lobulated, subcutaneous soft tissue mass in the occipital scalp region without any intra cranial extention. The lesion was excised en bloc under general anaesthesia. Histopathological examination confirmed a benign lipoma. The postoperative course as uneventful.Conclusion: Giant occipital lipomas are extremely rare, especially in young adults. Complete surgical excision remains the definitive treatment. Timely diagnosis and appropriate surgical intervention ensure optimal outcomes. This case adds to the sparse literature on occipital scalp lipomas and highlights the clinical and surgical considerations in managing such presentations.