Dumb-Bell Shaped Lipoma of the Sole: A Rare Case Presentation and Diagnostic Insight

Dumb-bell shaped lipomas of the sole are exceedingly rare due to the paucity of adipose tissue in this region. We report a case of a 60-year-old male who presented with a painless, progressively enlarging swelling on the plantar aspect of the left foot, which subsequently developed a pressure ulcer over the same area. Magnetic resonance imaging (MRI) revealed a well-defined, dumb-bell shaped lipomatous lesion traversing the plantar fascia. The patient underwent a wide local excision, and histopathological analysis confirmed the diagnosis of a lipoma. Postoperative recovery was uneventful, with no recurrence at 6-month follow-up. This case underscores the importance of considering deep-seated dumb-bell lipomas in atypical plantar swellings and highlights the crucial role of MRI in preoperative planning to ensure complete excision and prevent recurrence.