GIANT LIPOMA OF THE TRANSVERSE COLON: A CASE REPORT AND REVIEW OF THE LITERATURE

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Vol. 87 No. 6 (2009): Issue Jun 2009

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Leila Mnif
Department of gastroenterology University Hospital Hedi Chaker Sfax Tunisia
Ali Amouri
Department of gastroenterology University Hospital Hedi Chaker Sfax Tunisia
Mohamed A Masmoudi
Department of gastroenterology University Hospital Hedi Chaker Sfax Tunisia
Amin Mezghanni
Department of gastroenterology University Hospital Hedi Chaker Sfax Tunisia
Naourez Gouiaa
Department of Histopathology University Hospital Habib Bourguiba Sfax Tunisia
Tahia Boudawara
Department of Histopathology University Hospital Habib Bourguiba Sfax Tunisia
Nabil Tahri
Department of gastroenterology University Hospital Hedi Chaker Sfax Tunisia

Abstract

Background : Colonic lipomas are benign adipose tumors which are usually submucosal. Small lesions are asymptomatic and may be detected incidentally. Large lipomas can cause symptoms.
Aim : We report a case of symptomatic giant colonic lipoma
Observation :A 67-year old woman was admitted to hospital with persistent abdominal pain, for which a barium enema showed a large polypoid mass occluding the lumen of the transverse colon. Colonoscopy revealed a tumor narrowing the bowel lumen of about 5 cm in diameter with a sessile appearance and ulcerated overlying mucosa. The possibility of colonic malignancy could not be precluded and an operative resection was performed. Pathological examination revealed a colonic lipoma. Twelve months after the surgery, the patient was free of symptoms.
Conclusion: Awareness of the possibility of colonic lipomas is important for clinicians in terms of evaluation of therapeutic regimen.

Keywords:

Colonic, lipoma, malignancy, diagnosis, therapy

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