Caecal lipomas mimicking colonic angiodysplasia

Hall, P. A.; Murfitt, Janet; Pollock, D. J.

doi:10.1259/0007-1285-58-696-1213

Cited by 7 publications

(2 citation statements)

References 9 publications

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“…The conventional radiological aspect evokes rarely a malignant tumor. In 1985, Hall, et al reported a caecal lipoma manifested by a gastrointestinal hemorrhage whose angiographic aspect suggested an angiodysplasia related to intratumoral vascular abnormalities; the hemorrhage was due to ulceration [51]. Ultrasound can show an echogenic mass, slightly hypoechoic, or with thin internal septations ( Figure 5), but without vascular flow on Doppler examination ( Figure 6).…”

Section: Imagingmentioning

confidence: 99%

Lipomas of the Digestive Tract: General Aspects and Imaging

Ony¹,

Ahmad²,

Bruneton³

2014

Cureus

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Lipomas are the second most common benign, non-epithelial tumor of the gastrointestinal tract after leiomyoma. They can grow at all levels of digestive tract with a variable frequency. This involvement may be single or multiple in one or more segments. These lesions with a low development can rarely cause serious complications requiring prompt treatment. Therapeutic decision is guided by symptoms and tumor size. Conventional radiography with digestive opacification allows locating the tumor. On cross-sectional imaging, lipomas appear as homogeneous fatty tumors or rarely with internal fine septa. Computed tomography and magnetic resonance imaging allow the final diagnosis of lipomas in its uncomplicated forms.

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Section: Imagingmentioning

confidence: 99%

Lipomas of the Digestive Tract: General Aspects and Imaging

Ony¹,

Ahmad²,

Bruneton³

2014

Cureus

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“…A principal dificuldade diagnóstica, mesmo com técnica apropriada, consiste em reconhecer lipomas menores que 1cm de diâmetro 10 . Na arteriografia, pode-se confundi-lo com lesões vasculares, pela presença de veias dilatadas em suas traves de sustentação 26 . A presença de depósitos gordurosos junto à válvula ileocecal é achado freqüente durante a colofibroscopia e pode, como vimos, não representar verdadeiros tumores gordurosos 9,19 .…”

Section: O Número De Lipomas Colorretais Constatado Emunclassified

Lipomas colorretais: correlação anatomoclínica de 29 casos

Bromberg

Zampieri

Cavalcanti

et al. 1997

Rev. Assoc. Med. Bras.

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Fatty tumours of the large intestine: A clinicopathological review of 13 cases

Ryan

Martin

Pollock

1989

Journal of British Surgery

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Thirteen cases of benign fatty tumours of the colon have been reviewed. There were ten instances of submucosal lipoma, two of which were multiple, and three of lipohyperplasia of the ileocaecal valve. Abdominal pain and gastrointestinal bleeding were the commonest symptoms. Barium enema and angiography were misleading, the former in confusing polypoid lipomas and protruberant ileocaecal valves with carcinoma, the latter in misinterpreting fatty tissue vasculature as angiodysplasia in three patients. Most lesions were in the right side of the colon, and many were treated by limited colectomy as if for carcinoma or angiodysplasia. No patient has died as a result of their disease. Awareness of the possibility of colonic lipomas and knowledge of the normal ileocaecal valve anatomy are of importance to radiologists and endoscopists, particularly now that angiography is localizing the smaller fatty lesions.

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Caecal lipomas mimicking colonic angiodysplasia

Cited by 7 publications

References 9 publications

Lipomas of the Digestive Tract: General Aspects and Imaging

Lipomas of the Digestive Tract: General Aspects and Imaging

Lipomas colorretais: correlação anatomoclínica de 29 casos

Fatty tumours of the large intestine: A clinicopathological review of 13 cases

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