General anesthesia with endotracheal intubation in Madelung’s Disease

Patients with Madelung’s Disease often present with diffuse deposition and thickening of adipose tissue in the neck, nape, anterior chest wall, and shoulder-back region, making airway management extremely challenging. Currently, successful case reports of endotracheal intubation after general anesthesia induction in such patients are rare. This case involves a patient with Madelung’s Disease in his 60s who underwent pulmonary wedge resection. The surgery was successfully completed using endotracheal intubation after general anesthesia induction. For patients with Madelung’s Disease, thorough airway assessment and preparation for difficult airway management are crucial to ensure perioperative safety.