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A case of giant lipoma causing chronic recurrent intussusception of the colon.

Lee CS, Lee MJ, Kim KL, Kim YS, Baik GH, Kim JB, Kim DJ, Han SH - Clin Endosc (2012)

Bottom Line: However, they may cause symptoms such as bleeding, obstruction or intussusception as their size increases.In a 68-year-old woman suffering intermittent abdominal pain, 5.5×4.5×3.8-cm huge mass was found by colonoscopy at proximal ascending colon, which was intussuscepted to proximal transverse colon on abdominal computed tomography.We report a case of symptomatic giant pedunculated colonic lipoma causing intussusception requiring surgical intervention, with a successful recovery after surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.

ABSTRACT
Colonic lipomas, which often occur in elderly women, usually have small size and occur mainly in the cecum and ascending colon. Most colonic lipomas are asymptomatic and identified incidentally at the time of endoscopy or surgery. However, they may cause symptoms such as bleeding, obstruction or intussusception as their size increases. Intermittent episodes of intussusception are uncommon but may be caused by large pedunculated lipoma. In a 68-year-old woman suffering intermittent abdominal pain, 5.5×4.5×3.8-cm huge mass was found by colonoscopy at proximal ascending colon, which was intussuscepted to proximal transverse colon on abdominal computed tomography. Segmental right colonic resection was conducted. We report a case of symptomatic giant pedunculated colonic lipoma causing intussusception requiring surgical intervention, with a successful recovery after surgery.

No MeSH data available.


Related in: MedlinePlus

Colonoscopic findings. (A) Huge, round, hyperemic mass covered with superficial ulcer is observed at proximal ascending colon. On the center of ulcer, the exposed vessels are seen. (B) It shows another small ulcer near the base of the mass, and inflammated hyperemic mucosa is seen on the body of the mass.
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Figure 1: Colonoscopic findings. (A) Huge, round, hyperemic mass covered with superficial ulcer is observed at proximal ascending colon. On the center of ulcer, the exposed vessels are seen. (B) It shows another small ulcer near the base of the mass, and inflammated hyperemic mucosa is seen on the body of the mass.

Mentions: In the colonoscopy, a large hyperemic round mass occupying more than three-quarters of the lumen was observed at the proximal ascending colon. The mass was covered with large superficial ulcer with small exposed blood vessels, and was firmly originated at the counter-mesenteric border side of 2 to 3 cm distal part of ileocecal valve, suggesting malignant gastrointestinal stromal tumor (GIST). There was another small ulcer near the base of the mass (Fig. 1).


A case of giant lipoma causing chronic recurrent intussusception of the colon.

Lee CS, Lee MJ, Kim KL, Kim YS, Baik GH, Kim JB, Kim DJ, Han SH - Clin Endosc (2012)

Colonoscopic findings. (A) Huge, round, hyperemic mass covered with superficial ulcer is observed at proximal ascending colon. On the center of ulcer, the exposed vessels are seen. (B) It shows another small ulcer near the base of the mass, and inflammated hyperemic mucosa is seen on the body of the mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3401622&req=5

Figure 1: Colonoscopic findings. (A) Huge, round, hyperemic mass covered with superficial ulcer is observed at proximal ascending colon. On the center of ulcer, the exposed vessels are seen. (B) It shows another small ulcer near the base of the mass, and inflammated hyperemic mucosa is seen on the body of the mass.
Mentions: In the colonoscopy, a large hyperemic round mass occupying more than three-quarters of the lumen was observed at the proximal ascending colon. The mass was covered with large superficial ulcer with small exposed blood vessels, and was firmly originated at the counter-mesenteric border side of 2 to 3 cm distal part of ileocecal valve, suggesting malignant gastrointestinal stromal tumor (GIST). There was another small ulcer near the base of the mass (Fig. 1).

Bottom Line: However, they may cause symptoms such as bleeding, obstruction or intussusception as their size increases.In a 68-year-old woman suffering intermittent abdominal pain, 5.5×4.5×3.8-cm huge mass was found by colonoscopy at proximal ascending colon, which was intussuscepted to proximal transverse colon on abdominal computed tomography.We report a case of symptomatic giant pedunculated colonic lipoma causing intussusception requiring surgical intervention, with a successful recovery after surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.

ABSTRACT
Colonic lipomas, which often occur in elderly women, usually have small size and occur mainly in the cecum and ascending colon. Most colonic lipomas are asymptomatic and identified incidentally at the time of endoscopy or surgery. However, they may cause symptoms such as bleeding, obstruction or intussusception as their size increases. Intermittent episodes of intussusception are uncommon but may be caused by large pedunculated lipoma. In a 68-year-old woman suffering intermittent abdominal pain, 5.5×4.5×3.8-cm huge mass was found by colonoscopy at proximal ascending colon, which was intussuscepted to proximal transverse colon on abdominal computed tomography. Segmental right colonic resection was conducted. We report a case of symptomatic giant pedunculated colonic lipoma causing intussusception requiring surgical intervention, with a successful recovery after surgery.

No MeSH data available.


Related in: MedlinePlus