“…1,2 Extra-articular uric acid deposits, also called tophi, can occur in the absence of gouty arthritis in the connective tissue of ears, breast, kidney, elbows, wrists, fingers, finger pulp, legs, knees, ankles, feet, and toes. [3][4][5][6][7] We report the case of 36-year-old woman with a large urate tophus in the colonic wall resembling a tumor in the absence of gouty arthritis.…”