Gastrointestinal lipoma presenting as colonic intussuception: report of two cases.

Authors

  • Pranita Medhi Associate professor, Department Of Pathology, Assam Medical College and Hospital,Dibrugarh,Assam
  • Mahak Sharma Demonstrator, Department Of Pathology, Assam Medical College and Hospital, Dibrugarh,Assam
  • Manjusha Biswas Consultant Pathologist, Nightingle Hospital,Kolkatta

Keywords:

Lipoma, Gastrointestinal, Benign, Obstruction,

Abstract

Lipomas  are  benign  mesenchymal  tumors of adipose tissue,  though  common  at  other  sites,  are  rare  in  GIT. Most  gastrointestinal  lipomas  are  located  in  the  colon,  ileum  and jejunum,  are  rarely  responsible  for  clinical  symptoms  and  are  usually  detected  incidentally at  colonoscopy. We present two such cases of large colonic lipomas. One is a 38-years old female presenting  with  complaint  of  loose  stool  and  sessile  mass  in  transverse  colon on  colonoscopy,  suspected  to  be  a  malignant  lesion. The  other  is  a  40 years  old  female presenting  with  acute  abdomen,  colonoscopy  revealed  a  submucosal  mass  in  descending colon. Both  underwent  resection  of  mass,  and  histologically  were  revealed  to  be lipomas of  colon. Colonic  lipomas,  although  unusual,  continue  to  present  difficulties  in  the preoperative  differentiation  between  malignant  and  benign  colonic  neoplasm. Two cases of colonic  lipomas  are  reported.

References

1. Vecchio R, Ferrara M, Mosca F, Ignoto A, Latteri F. Lipomas of the large bowel. Eur J Surg. 1996;162:915-9.

2. Geetha Nallamothu, Douglas G. Adler. Large Colonic Lipomas. Gastroenterology & Hepatology 2011;7:490-2.

3. Marra B. Intestinal occlusion due to a colonic lipoma. Apropos 2 cases. Minerva Chir. 1993; 48:1035-9.

4. Bahadursingh AM, Robbins PL, Longo WE. Giant submucosal sigmoid colon lipoma. Am J Surg. 2003;186:81-82.

5. Zhang H, Cong JC, Chen CS, Qiao L, Liu EQ. Submucous colon lipoma: a case report and review of the literature. World J Gastroenterol. 2005;11:3167-9.

6. Bardají M, Roset F, Camps R, Sant F, Fernández-Layos MJ. Symptomatic colonic lipoma: differential diagnosis of large bowel tumors. Int J Colorectal Dis. 1998;13:1-2

7. Zhang YQ, Yao LQ, Qin XY, Zhou PH, Xu MD, Hou YY. Diagnosis and treatment of gastrointestinal lipoma. Zhonghua Wei Chang Wai Ke Za Zhi. 2007;10:512-4.

8. Coyne PE, Teemul T, Dent B, Henderson D, Crabbe R, Garud T. JSCR. 2011 2:4

9. Ryan J, Martin JE, Pollock DJ. Fatty tumours of the large intestine: a clinicopathological review of 13 cases. Br J Surg. 1989;76:793–796.

10. De Beer RA, Shinya H. Colonic lipomas: an endoscopic analysis. Gastrointest Endosc. 1975;22:90–91.

11. Seung-Jin Kwag, Sang-Kyung Choi, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Tae-Jin Park, and Young-Tae Ju. Surgical Strategy for Colonic Intussusception Caused by a Giant Colonic Lipoma: A Report of Two Cases and a Review of the Literature. Ann Coloproctol. Jun 2014; 30: 147-50.

12. Zhou XC, Hu KQ, Jiang Y. A 4-cm lipoma of the transverse colon causing colonic intussusception: A case report and literature review. Oncol Lett. 2014;8:1090-2.

Downloads

Published

10-05-2015

How to Cite

1.
Medhi P, Sharma M, Biswas M. Gastrointestinal lipoma presenting as colonic intussuception: report of two cases. Ann of Pathol and Lab Med [Internet]. 2015 May 10 [cited 2024 Dec. 22];2(2):C134-137. Available from: http://pacificejournals.com/journal/index.php/apalm/article/view/203

Issue

Section

Case Report