The most prevalent benign tumour originating from fat cells is a lipoma. It is frequently referred to as a universal tumour or a widespread tumour. Modern science has described several different forms of lipomas, including the uncommon pedunculated lipoma, which is often treated by excision. In Ayurveda, lipoma can be compared with the Medaj Granthi. Ksharasutra ,which has a low recurrence rate, is the least invasive and established treatment of Ayurveda. In this present study a 55year old male patient consulted in the Shalya OPD of GAM, Puri, complaining of large swelling and lump like structure on his back of the left thigh since 5 years & gradually increasing in size. He also complained of mild itching and discomfort. Clinical findings, revealed it has pedunculated of lipoma. This case is managed by transfixation and ligation with Apamarga Ksharsutra.
