Excision of Medoja Granthi (Lipoma) at ring finger of hand a rare location - A case study

Lipoma is one kind of benign tumour as per modern surgery that resembles with the Granthi in general and Medoja Granthi in particular as per Ayurveda. The management of Medoja Granthi is the incision and total excision as mentioned by Charaka and Sushruta in the Ayuveda classic. In this case report a 67 years old female patient visited OPD of Shalya tantra with complaints of cystic swelling in ring finger of left hand. On the basis of clinical findings and Xray report diagnosis was made as lipoma a rare location and excision was done under local anesthesia (2% lignocaine hydrochloride). After excision there was 3x1.5 cm encapsulated lipoma was noted. Hence this case highlighted that lipomas can occurs at rare place like fingers and need to be excision.