Giant Colonic Lipoma Presenting as Intermittent Colonic Obstruction With Hematochezia

Cartelle, Anabel Liyen; Uy, Pearl Princess; Yap, John Erikson L.

doi:10.7759/cureus.11434

Cited by 8 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Colonic lipoma is mostly asymptomatic, but can sometimes be associated with complications. Reported complications included hemorrhage[ 6 ], obstruction[ 7 ], perforation[ 8 ], and intussusception[ 9 ]. All of these complications are caused by secondary colon damage to mechanical injury of the colonic lipoma.…”

Section: Discussionmentioning

confidence: 99%

Large colonic lipoma with a laterally spreading tumor treated by endoscopic submucosal dissection: A case report

Bae,

Kim,

Kim

et al. 2023

World J Clin Cases

View full text Add to dashboard Cite

Fasting during the month of Ramadan is one of the five fundamental principles of Islam, and it is obligatory for healthy Muslim adults and adolescents. During the fasting month, Muslims usually have two meals a day, suhur (before dawn) and iftar (after dusk). However, diabetic patients may face difficulties when fasting, so it is important for medical staff to educate them on safe fasting practices. Prolonged strict fasting can increase the risk of hypoglycemia and diabetic ketoacidosis, but with proper knowledge, careful planning, and medication adjustment, diabetic Muslim patients can fast during Ramadan. For this review, a literature search was conducted using PubMed and Google Scholar until May 2023. Articles other than the English language were excluded. Current strategies for managing blood sugar levels during Ramadan include a combination of patient education on nutrition, regular monitoring of blood glucose, medications, and insulin therapy. Insulin therapy can be continued during fasting if properly titrated to the patients’ needs, and finger prick blood sugar levels should be assessed regularly. If certain symptoms such as hypoglycemia, hyperglycemia, dehydration, or acute illness occur, or blood glucose levels become too high (> 300 mg/dL) or too low (70 mg/dL), the fast should be broken. New insulin formulations such as pegylated insulin and medications like tirzepatide, a dual agonist of gastric-inhibitory peptideand glucagonlike-peptide 1 receptors, have shown promise in managing blood sugar levels during Ramadan. Non-insulin-dependent medications like sodium-glucose-cotransporter-2 inhibitors, including the Food and Drug Administration-approved ertugliflozin, are also being used to provide additional cardiovascular benefits in patients with type 2 diabetes.

show abstract

Section: Discussionmentioning

confidence: 99%

Large colonic lipoma with a laterally spreading tumor treated by endoscopic submucosal dissection: A case report

Bae,

Kim,

Kim

et al. 2023

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…Endoscopically three signs may be present in case of a lipoma: 1) the pillow sign: by pushing the lesion with a closed biopsy forceps this can be impressed like a pillow; 2) the tenting sign: by grasping the overlying mucosa a fold may be easily pulled away, and 3) naked fat sign: fatty tissue appears when a biopsy is taken from the lesion [5]. The need for and type of therapy of a lipoma depends on the size, complications and possibility of malignancy in the lesion.…”

Section: Reportmentioning

confidence: 99%

Autopolypectomy

LPL¹,

GMC²,

CJR³

2021

J Clin Images Med Case Rep

View full text Add to dashboard Cite

A 50-year-old man with a negative medical history except obesity visited the Emergency Unit because of acute anal blood loss, lower abdominal pain, constipation and a collapse. He mentioned the anal expulsion of a ‘meat chunck’ prior to the bleeding episode. He carried a glass jar with the collected specimen, which measured 5 X 4 X 2 cm and had a pink-yellowish colour (Figure 1). On physical examination he was hemodynamically stable (blood pressure 150/95 mmHg, heart rate 85 beats per minute), with no signs of anaemia neither abdominal tenderness. Rectal toucher showed dark, old blood. He was admitted and treated with intravenous tranexamic acid while being prepared for colonoscopy. His hemoglobin levels decreased from 9.1 to 8.1 mmol/l (8.5-11.0) in the first eight hours after admission, with mild leukocytosis (12.1/nL). Colonoscopy showed an ulcerated residual stalk of approximately two centimeters in the sigmoid colon (Figure 3). Histopathological examination of the specimen collected by the patient showed only benign adipocytes, in accordance with a giant lipoma (Figure 2).

show abstract

“…Los lipomas son tumores de tejidos blandos derivados de adipocitos maduros, descritos por primera vez por Bauer en 1757, los cuales macroscópicamente y radiológicamente son indistinguibles del tejido adiposo normal; epidemiológicamente son las lesiones más frecuentes derivadas de tejidos blandos en los pacientes adultos, con una ligera mayor presentación en pacientes masculinos (1) .…”

Section: Introductionunclassified

Lipoma gigante submucoso de colon derecho expulsado de manera espontánea por vía rectal: reporte de caso.

Hernández Sampayo,

Montes Arcón,

Blanco Pertuz

et al. 2023

Rev. colomb. Gastroenterol.

View full text Add to dashboard Cite

Los lipomas colónicos son tumores benignos que se originan en el tejido mesenquimal y se consideran el segundo tumor benigno más común en el colon, después de los pólipos adenomatosos. Tienden a afectar más a mujeres y su localización más frecuente es el colon derecho. Por lo general, estos lipomas no presentan síntomas, pero cuando alcanzan un tamaño considerable pueden causar manifestaciones. También pueden dar lugar a complicaciones como obstrucción, intususcepción y perforación. Dado que sus características radiológicas son similares a la grasa, pueden ser visualizados mediante tomografía computarizada, aunque el diagnóstico definitivo se realiza mediante colonoscopia, donde se observa una masa grasa con forma ovalada y capacidad elástica. Las lesiones pueden ser extirpadas endoscópicamente o quirúrgicamente. La expulsión espontánea de un lipoma por vía rectal es rara y su mecanismo aún no está completamente comprendido. Aunque la literatura establece un punto de corte de 2 cm para decidir entre resección endoscópica o laparoscópica, la primera está en aumento y puede ampliar este límite. En casos grandes, como el reportado en este artículo, se recomienda una resección quirúrgica. Este caso particular se destaca por ser el lipoma de colon más grande reportado hasta ahora (13 cm) expulsado espontáneamente.

show abstract

Giant Colonic Lipoma Presenting as Intermittent Colonic Obstruction With Hematochezia

Cited by 8 publications

References 14 publications

Large colonic lipoma with a laterally spreading tumor treated by endoscopic submucosal dissection: A case report

Large colonic lipoma with a laterally spreading tumor treated by endoscopic submucosal dissection: A case report

Autopolypectomy

Lipoma gigante submucoso de colon derecho expulsado de manera espontánea por vía rectal: reporte de caso.

Contact Info

Product

Resources

About