"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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2008 (EN)

"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)

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English

2008-07-10


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 21, No 1 (2008); 55-58 (EN)




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