“Giant” lipoma of the sigmoid colon: spontaneous expulsion 12 days after failure of endoscopic resection. Report of a case and review of the literature

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“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)

Gatopoulou, Anthi.
Tragiannidis, D.
Soufleris, K.
Patakiouta, Frideriki.
Tzilves, D.
Pilpilidis, I.
Katsos, I.
Lazaraki, Georgia.

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)

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Gastroenterologiki Company (EN)

2008-07-10


Annals of Gastroenterology (EN)

Annals of Gastroenterology; Volume 21, No 1 (2008); 55-58 (EN)



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