Gastrointestinal lipoma presenting as colonic intussuception: report of two cases.
Keywords:
Lipoma, Gastrointestinal, Benign, Obstruction,
Abstract
Lipomas are benign mesenchymal tumors of adipose tissue, though common at other sites, are rare in GIT. Most gastrointestinal lipomas are located in the colon, ileum and jejunum, are rarely responsible for clinical symptoms and are usually detected incidentally at colonoscopy. We present two such cases of large colonic lipomas. One is a 38-years old female presenting with complaint of loose stool and sessile mass in transverse colon on colonoscopy, suspected to be a malignant lesion. The other is a 40 years old female presenting with acute abdomen, colonoscopy revealed a submucosal mass in descending colon. Both underwent resection of mass, and histologically were revealed to be lipomas of colon. Colonic lipomas, although unusual, continue to present difficulties in the preoperative differentiation between malignant and benign colonic neoplasm. Two cases of colonic lipomas are reported.References
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2. Geetha Nallamothu, Douglas G. Adler. Large Colonic Lipomas. Gastroenterology & Hepatology 2011;7:490-2.
3. Marra B. Intestinal occlusion due to a colonic lipoma. Apropos 2 cases. Minerva Chir. 1993; 48:1035-9.
4. Bahadursingh AM, Robbins PL, Longo WE. Giant submucosal sigmoid colon lipoma. Am J Surg. 2003;186:81-82.
5. Zhang H, Cong JC, Chen CS, Qiao L, Liu EQ. Submucous colon lipoma: a case report and review of the literature. World J Gastroenterol. 2005;11:3167-9.
6. Bardají M, Roset F, Camps R, Sant F, Fernández-Layos MJ. Symptomatic colonic lipoma: differential diagnosis of large bowel tumors. Int J Colorectal Dis. 1998;13:1-2
7. Zhang YQ, Yao LQ, Qin XY, Zhou PH, Xu MD, Hou YY. Diagnosis and treatment of gastrointestinal lipoma. Zhonghua Wei Chang Wai Ke Za Zhi. 2007;10:512-4.
8. Coyne PE, Teemul T, Dent B, Henderson D, Crabbe R, Garud T. JSCR. 2011 2:4
9. Ryan J, Martin JE, Pollock DJ. Fatty tumours of the large intestine: a clinicopathological review of 13 cases. Br J Surg. 1989;76:793–796.
10. De Beer RA, Shinya H. Colonic lipomas: an endoscopic analysis. Gastrointest Endosc. 1975;22:90–91.
11. Seung-Jin Kwag, Sang-Kyung Choi, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Tae-Jin Park, and Young-Tae Ju. Surgical Strategy for Colonic Intussusception Caused by a Giant Colonic Lipoma: A Report of Two Cases and a Review of the Literature. Ann Coloproctol. Jun 2014; 30: 147-50.
12. Zhou XC, Hu KQ, Jiang Y. A 4-cm lipoma of the transverse colon causing colonic intussusception: A case report and literature review. Oncol Lett. 2014;8:1090-2.
Published
2015-05-10
Issue
Section
Case Report
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