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February 1960

An Excision of Abdominal Fat Apron: Surgical Technique and Report of a Case

Author Affiliations

Palo Alto, Calif.
Department of Surgery, Stanford University Hospital.

AMA Arch Surg. 1960;80(2):327-332. doi:10.1001/archsurg.1960.01290190147026

Extreme degrees of obesity have from time immemorial excited the interest and comments of the less obese. Among the anomalies and curiosities of medicine collected by Gould and Pyle1 reference is made to instances of remarkable obesity. He reports well-authenticated records of persons who weighed more than 700 lb. and suggests that the reference to a Baltimore Negro woman weighing 850 lb. and to a man from North Carolina in 1798 weighing more than 1,000 lb. may very well be accurate. Some extremely obese persons have a peculiar fat distribution resulting in an apron of fat hanging from the lower abdomen. A number of these adipose panniculi have extended to the knees or even to the ankles and weigh more than 50 lb.

Some of the persons so afflicted have their body fat distributed in great masses over the abdomen, hips, buttocks, and upper arms, the head, neck, lower