"Giant" lipoma of the sigmoid colon: spontaneous expulsion 12 days after failure of endoscopic resection. Report of a case and review of the literature
"Giant" lipoma of the sigmoid colon: spontaneous expulsion 12 days after failure of endoscopic resection. Report of a case and review of the literature
(EN)
Background: Lipomas of the colon are benign tumors which
occur rarely. Their size ranges from 2 mm to several cm. They
are usually asymptomatic but occasionally they present with
clinical manifestations depending on tumor size, localization
and complications, which often lead to diagnostic difficulty.
Patient-Methods: A 78-year-old man presented with a
6-month history of multiple episodes of crampy abdominal
pain due to a lipoma of 40 mm x 30 mm x 24 mm located in
the sigmoid. Endoscopic resection was performed without
success. We report here for the first time, lipoma self-expulsion
with the feces 12 days after the endoscopic resection
attempt. In this report a review of the literature regarding
clinical features, diagnosis and treatment of this uncommon
disease is also performed. Conclusion: Surgery remains the
main therapeutic option, especially for large colonic lipomas,
however endoscopic removal would be preferable over surgical
excision if it can be done safely.
(EN)
Medical and Health Sciences ▶ Clinical Medicine Gastroenterology
(EN)
Hellenic Society of Gastroenterology
