Colonic lipoma mimicking malignancy and presenting as an intussusception: A rare case report

Niazi, Shehryar Ahmed Khan; Raza, Muhammad Salar; Mukhtar, Muhammad Umer; Hassan, Rameez; Nasir, Muhammad Umar

doi:10.1016/j.ijscr.2023.108611

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Additionally, the lesion was also located in the descending colon, as was in our case, and the CT findings disclosed mural thickening suggestive of neoplastic aetiology [ 12 ]. In other cases, the authors have decided to conduct radical colectomies because malignancy could not be excluded or the biopsy results showed no specific diagnosis [ 5 , 6 , 9 , 15 , 17 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

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A Colonic Lipoma Causing Obstruction: A Case Report and Review of Literature

Pichioni,

Kokkinovasilis,

Stylianou

et al. 2023

Cureus

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Colonic lipomas are rare benign lesions of the gastrointestinal tract. They are asymptomatic in the majority of cases. This report aims to present a case involving a 65-year-old female patient reporting rectal bleeding, loss of appetite, and alteration in bowel habits. First, she was submitted to colonoscopy which revealed a sizable ulcerative polypoid lesion in the descending colon, displaying histological characteristics consistent with a hyperplastic polyp and devoid of malignancy indications. An abdominal computed tomography followed which showed diffuse thickening of the colonic wall in the descending colon, resulting in nearly complete luminal obstruction and also a submucosal lipoma measuring 2.6 centimeters at the same location. Laparoscopic intervention ensued, and following a conclusive intraoperative diagnosis of a submucosal lipoma via frozen biopsy, a successful laparoscopic segmental resection of the descending colon with primary anastomosis was executed. Additionally, a comprehensive review of contemporary literature is provided to enhance the understanding of the management approaches applied in analogous cases since established treatment guidelines for colonic lipomas are currently lacking.

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Section: Discussionmentioning

confidence: 99%

“…Furthermore, we minimized the length of colon resection as much as possible owing to the absence of malignant signs in biopsy results. In only three reported cases, including our case, the lipomas were removed laparoscopically [ 6 , 12 ].…”

Section: Discussionmentioning

confidence: 99%