Abstract:
:Lipoma is relatively common in the colon but is less often in the small intestine. Most lipomas are incidentally detected at endoscopy and are usually small and asymptomatic. However, some of them can present with obstruction and/or intussusceptions. Surgical resection is commonly recommended to remove such significant lipomas with a limited pedicle and larger than 2 cm in size, as endoscopic resection may result in unfavorable complications such as intestinal perforations. We report a case of 62-year-old man presenting with hematochezia. Colonoscopy showed a submucosal tumor, about 50 mm in size, in the terminal ileum. A clinical diagnosis of lipoma was established based on the findings of colonoscopy and abdominal computed tomography (CT). As the patient complained of hematochezia and mild iron deficiency anemia associated with repeated tumor prolapse, we decided to remove his lipoma. Consequently, the lesion was completely removed en bloc. Although abdominal CT immediately after removal of the lesion showed a small amount of free air, conservative treatment was successfully carried out for the perforation. Histologically, the removed lesion was a lipoma.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Morimoto T,Fu KI,Konuma H,Izumi Y,Matsuyama S,Ogura K,Miyazaki A,Watanabe Sdoi
10.3748/wjg.v16.i13.1676subject
Has Abstractpub_date
2010-04-07 00:00:00pages
1676-9issue
13eissn
1007-9327issn
2219-2840journal_volume
16pub_type
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