Large intestinal lipoma: a case report and review of literature

Sekhar, Sirumalla Chandra; Venishetty, Harika; Saritha, Cigiri; Ali, Mohammad Imran

doi:10.18203/2349-2902.isj20161184

Cited by 1 publication

(4 citation statements)

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“…12 Excision is typically warranted with lipoma greater than 2 cm. 10 Whereas sarcomatous change in cecal lipoma has never been reported, 3 growth of such lipomas over time have been reported to cause symptoms including intussusception. 13 In the present case, the patient with Crohn's disease was incidentally diagnosed with an asymptomatic cecal lipoma during colonoscopy.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Colonic lipomas are seen in just 0.2%–4.4% of autopsies, with cecal manifestations occurring in <20% of cases 2 . Although typically asymptomatic when smaller than 2 cm in diameter, larger cecal lipomas can cause rectal bleeding, abdominal pain, intussusception, and bowel obstruction 3 . The coexistence of cecal lipomas and Crohn's disease is a rare occurrence.…”

Section: Introductionmentioning

confidence: 99%

“…2 Although typically asymptomatic when smaller than 2 cm in diameter, larger cecal lipomas can cause rectal bleeding, abdominal pain, intussusception, and bowel obstruction. 3 The coexistence of cecal lipomas and Crohn's disease is a rare occurrence. In this case report, we present a teenager with Crohn's disease who was incidentally diagnosed with an asymptomatic cecal lipoma, highlighting the challenges in its management.…”

Section: Introductionmentioning

confidence: 99%

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Concurrent cecal lipoma and Crohn's disease in a pediatric patient: A conservative approach

Shargo,

Ekblad,

Baran

et al. 2024

JPGN rep.

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We report the case of a 14‐year‐old patient with a known history of Crohn's disease who was incidentally diagnosed with an asymptomatic cecal lipoma. A routine surveillance colonoscopy as part of the management of the patient's Crohn's Disease revealed a well‐defined, submucosal, yellowish mass in the patient's cecum. Histopathological examination of a biopsy specimen revealed submucosal adipose tissue, consistent with the endoscopic images showing the characteristic appearance of the lipoma. A computed tomography examination further confirmed the diagnosis. While colonic lipomas are infrequent and typically manifest later in life, few cases report the coexistence of a cecal lipoma with Crohn's disease, particularly in the pediatric population. In this case, managing this dual condition posed a notable challenge. Here, we present the conservative approach to managing a pediatric patient with cecal lipoma and Crohn's disease. The decision to leave the lipoma in situ was based on the absence of symptoms and potential risks associated with surgical removal.

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