Fulminant pouch is an occupying lesion that commonly occurs in the neck, which is a localized hyperplasia of fatty tissue and even forms a lipoma. The most effective method of eradication is to opt for surgery, and for smaller lesions, surgical excision under local anesthesia is an option. Postoperative drainage strips need to be left in place to avoid the occurrence of subcutaneous fluid or fat liquefaction. In case of fatty tissue hyperplasia, general anesthesia is also an option if necessary to remove the fatty tissue from the neck. If the trauma is large, a drainage tube should also be left in place after surgery, requiring negative pressure suction. After the surgery, it is necessary to prevent infection and to change the medication regularly. During the post-operative recovery period, neck movement is limited to avoid affecting the healing process. For those with underlying diseases such as hypertension and diabetes, it is also important to monitor the changes in blood pressure and blood sugar during the perioperative period to promote wound healing.