A Case of Giant Lipoma of the Transverse Colon with Intussusception Treated by Laparoscopic Surgery: A Review of 36 Cases Reported in the Japanese Literature

Yano, Yasuhiro; Yamaguchi, Tomohiro; Imai, Masamichi; Toyama, Kazutaka; Toguchi, Keisuke; Hirabayashi, Kuniaki

doi:10.4030/jjcs.44.753

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Similarly large lipomas have been reported before [4,8,15,16,18], out of which a specific case describes the successful resection using an endoloop [17]. The uniqueness of the case reported here comes from the incidental finding of a Meckel's diverticulum during the surgical removal of a comparatively large lipoma as the leading point of a colo-colonic intussusception.…”

Section: Discussionsupporting

confidence: 76%

“…Gould et al reported only seven cases of transverse colonic lipomas published in the literature [4]. Moreover, studies have reported a significant increase in the incidence of intussusception if the size of the lipoma is larger than 4 cm, raising up to 80%, and even 100% if the size exceeds 6-7 cm [18]. Crocetti et al reviewed 88 articles including 184 patients diagnosed with a large colonic lipoma, in which 127 patients were selected for inclusion in the subgroup analysis [16].…”

Section: Discussionmentioning

confidence: 99%

“…After the evaluation of published works with the use of PubMed and the Central Journal of Medicine issued between 2000 and 2020, only six case reports of laparoscopic surgery for transverse colonic lipoma were found [18].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Abdominal Pain—Beyond Colonic Lipoma Intussusception

Dascalu,

Constantinescu,

Scafa

et al. 2024

Gastroenterology Insights

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Colonic lipomas are relatively rare benign tumors which are composed of mature fat cells and occur most frequently in the large intestine. The occurrence of colonic lipomas in the transverse colon is relatively uncommon. Generally, colonic lipomas are asymptomatic, and many individuals might not experience any noticeable symptoms. Therefore, they are usually discovered incidentally during colonoscopy or as a result of diagnostic imaging prescribed for other reasons. The size and location of the lipoma could influence the clinical presentation. If symptoms occur, they include abdominal pain, changes in bowel habits, or gastrointestinal bleeding. The prognosis for colonic lipomas is generally excellent but it requires an individualized approach based on the specific characteristics of the tumor, the patient’s symptoms, and other clinical considerations. We report a case of a colonic intussusception caused by a colonic lipoma in an adult who underwent surgery, with an uneventful recovery.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%