Giant lipoma of the transverse colon causing colo-colonic intussusceptions

Miloudi, N.; Hefaiedh, Rania; Khalfallah, Mohamed Tahar

doi:10.1016/j.jviscsurg.2012.04.006

Cited by 9 publications

(13 citation statements)

References 3 publications

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“…Büyük lipomların endoskopik yöntemlerle çıkartılması sırasında, lipomun içerdiği su miktarı ve buna bağlı lipomu kesmek için gerekli daha fazla enerji nedeniyle kolonik duvarda oluşturacağı termal yaralanma ve perforasyon riski daha fazla olacaktır (17) . Bir çok yazar tarafından sağ kolon yerleşimli lipomların snare polipektomi yöntemiyle rezeksiyonu, lezyonların submukozal yerleşimi ve sağ kolon duvarının inceliği nedeniyle kolonun diğer böl-gelerine göre daha da riskli olduğu belirtilmiştir (18) . Bunun yanında yazarlar endoskopistin tecrübesi ve kullanılan hemostatik cihazlara büyük oranda bağlı olarak endoskopik yaklaşımın güvenli ve etkili bir yöntem olduğunuda bildirmişlerdir (16) .…”

Section: Discussionunclassified

Rare Mesenchimal Tumors of The Large Bowel: Colonic Lipomas

Uğurlu¹,

Aydın²

2021

TERH

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Objective: Colonic lipomas are the second most common benign tumor after polyps. Although large lipomas cause bleeding, perforation and invagination, they are generally asymptomatic. Symptomatic lipomas are treated with surgical and endoscopic methods. By presenting our case series on colonic lipomas in the light of the literature, we aimed to show that most of the lipomas, albeit large, do not require intervention. Methods: Colonoscopy procedures performed between 01.06.2013 and 01.03.2019 due to colorectal cancer (CRC) screening and follow-up, rectal bleeding, changes in bowel habit and anemia were included in the study. Data including age, gender, indication and colonoscopy findings of patients with lipomas larger than two cm in their large intestines were recorded. Results: Colonoscopy was performed on 4072 patients. Colonic lipoma larger than 2 cm was detected in 17 patients. Ten patients (58.8%) were female and seven patients (41.2%) were male. The mean age was 60.8 ± 8.8 years. Colonoscopy was performed in seven patients (41.2%) for CRC scanning, two patients (11.8%) for CRC follow-up, three patients (17.6%) for change in bowel habit, three patients (17.6%) for rectal bleeding, and two patients (11.8%) for anemia. The mean lesion size was 3.7 ± 1.5 cm. Lesions were seen in 14 lipomas (56%) in the right colon, six lipomas (24%) in the transverse colon, and five lipomas (20%) in the left colon. Conclusion: Colon lipomas are often not recognized or misdiagnosed due to factors such as insufficient colon cleansing or insufficient right colon intubations due to the patient’s inability to tolerate, insufficient attention and experience of the endoscopist. With the increase of awareness about colonic lipomas, we believe that only a few of the lesions diagnosed will require an invasive procedure.

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Section: Discussionunclassified

Rare Mesenchimal Tumors of The Large Bowel: Colonic Lipomas

Uğurlu¹,

Aydın²

2021

TERH

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“…(9) In the digestive tract, despite being somewhat rare with an overall incidence of 1.8% (1.3), mature adipose cells without pleomorphism are found in the colon for the most part, with an incidence of 0.03-4.4%, and located 65% of the time on the right side, often in the cecum. (2,6) Most of these lesions originate in the submucosal layer, but up to 10% may arise from the submucosal layer and extend to the muscle layer. (6,3) The systematic review by Crocetti et al (1), published in 2014, describes a female predilection in 55% of cases.…”

Section: Epidemiological Histological and Clinical Characterizationmentioning

confidence: 99%

“…The therapeutic options for colonic lipomas depend on the size of the mass: endoscopic resection is the first option for lesions <2cm, while surgical management is considered for larger symptomatic lesions or when they lead to complications such as intussusception. (1,2,3,6) Non-radical segmental colectomy via laparoscopy is generally the best therapeutic choice because there is less surgical trauma and a rapid post-operative recovery. (1,3,8,14) The case described here presented intussusception secondary to a pediculated lipomatous lesion of the hepatic flexure of the colon of about 7x7cm.…”

Section: Diagnosis and Findings Of Lipomatous Lesionsmentioning

confidence: 99%

“…Most patients benefit from endoscopic resection, but surgery is required when that approach is not possible due to the morphological characteristics of the lipoma or because it is associated with complications such as bleeding, perforation or intestinal obstruction. (1)(2)(3)5) Nevertheless, the literature (6) does not have sufficient reports about the best surgical approach to this pathology. In this regard, this article contributes to the literature with the description of a clinical case of proximal intussusception of the transverse colon, secondary to a lipomatous lesion located in the hepatic flexure of the colon, which required surgical management by laparoscopy, without early or late post-operative complications.…”

Section: Introductionmentioning

confidence: 99%

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Colonic intussusception as a rare manifestation of colonic lipoma: Case report

et al. 2019

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Introduction: Colonic lipomas are low-risk lesions that require endoscopic or surgical management depending on their size and symptoms. However, diagnosing a lipomatous lesion in the colon is a difficult task, as the clinical or imaging findings point to a low prevalence of these lesions and a higher frequency in the female sex. The laparoscopic approach is the current method of choice as it represents fewer traumas and, therefore, a faster clinical recovery.Case presentation: 43-year-old female patient, Caucasian, from the city of Bogotá, housewife, without any medical history. She presented with acute abdominal pain associated with tarry stools. Diagnostic imaging tests were performed, finding colo-colonic intussusception, originated in a lipomatous lesion located in the transverse colon. This patient underwent an enlarged laparoscopic right hemicolectomy.Discussion: This case describes how colonic intussusception constitutes a preoperative complication that requires surgical management since its diagnosis considering the associated mortality rates.Conclusion: The analysis of this case is part of the scientific evidence indispensable to improve the diagnostic and therapeutic approach to colonic intussusception, as local and international literature have not addressed this condition sufficiently.

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“…One rare site of occurrence is the gastrointestinal tract, predominantly the colon. 1 The incidence of colonic lipomas ranges between 0.04% and 4.4%, the majority of which are asymptomatic. 2 Approximately one fourth of colonic lipomas are symptomatic, especially those with a size above 2 cm.…”

Section: Introductionmentioning

confidence: 99%

Splenic flexure colonic lipoma causing intussusception

et al. 2021

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Lesson Colonic lipomas are rare benign tumours that are usually asymptomatic. However, giant colonic lipomas tend to be symptomatic and can occasionally result in intussusception and intermittent colonic obstruction. As adult intussusception is an uncommon occurrence, the identification of the underlying aetiology is essential due to its high association with malignancy. Computed Tomography remains the tool of choice for the diagnosis of colonic lipomas. Surgical excision remains the mainstay treatment of giant symptomatic colonic lipomas. We hereby present the case of a 51-year-old male found to have a colonic lipoma causing recurrent intussusception. We discuss the approach, diagnostic tools and available treatment modalities for colonic lipomas. We also provide a brief literature review of intussusception in adults.

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Giant lipoma of the transverse colon causing colo-colonic intussusceptions

Cited by 9 publications

References 3 publications

Rare Mesenchimal Tumors of The Large Bowel: Colonic Lipomas

Rare Mesenchimal Tumors of The Large Bowel: Colonic Lipomas

Colonic intussusception as a rare manifestation of colonic lipoma: Case report

Splenic flexure colonic lipoma causing intussusception

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