1 Intercity: takes a little over two hours for the Rome-Naples route. 2  Tickets cost â¬ 20.00. 3  Interegionali: these are the slowest trains, stopping at each station along the route and taking 4 hours to arrive in Naples. 4  Tickets cost â¬ 10.00, but we recommend these trains only to those on a very tight budget.
Intramuscular lipoma is a very rare form of lipoma, located deep within the muscle fibers and showing characteristics of infiltrating the muscles surrounding the area. Although it is not clear about the origin of tumors, a wide variety of theories, such as metaplasia, trauma, chronic irritation, and congenital development, have been suggested [1â3].
Lipomas - Pathophysiology. 1  Lipomas are common benign mesenchymal tumors. 2  In the GI tract, lipomas present as submucosal fatty tumors. 3  Duodenal lipomas are mostly small but may become pedunculated with obstruction of the lumen. 4  Colonic lipomas are usually discovered on endoscopy. Gentle palpation with a biopsy forceps reveals the soft nature of the submucosal mass. A biopsy specimen of the mucosa may reveal underlying fat, the so-called naked fat sign. As with lipomas in other locations, colonic lipomas may cause pain with obstruction or intussusception. As noted above, a fatty protrusion of preperitoneal fat termed a lipoma of the spermatic cord is a common finding on groin exploration for hernia repair.