Radiology Case Reports (Nov 2021)

A large lipoma of the descending colon: A rare case report

  • Ho Huu An, MD, PhD,
  • Trieu Trieu Duong, MD, PhD,
  • Nguyen Van Truong, MD,
  • Le Van Quoc, MD,
  • Vu Ngoc Son, MD,
  • Nguyen-Van Phu Thang, MD,
  • Nguyen Van Thach, MD,
  • Do Duc Cuong, MD, PhD,
  • Nguyen Minh Duc, MD, MSc

Journal volume & issue
Vol. 16, no. 11
pp. 3396 – 3399

Abstract

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Colon lipoma is a rare benign disease in the gastrointestinal tract with an incidence rate of approximately 0.035%-4.4%. The disease is often asymptomatic, so it is frequently discovered incidentally through endoscopy, computed tomography , or autopsy. When the tumor is over 2 cm in size, symptoms such as abdominal pain, bowel disorders, and bowel obstruction are common. Surgery is considered the mainstay of treatment for colonic lipomas. Furthermore, surgical (rather than endoscopic) resection is preferred for lipomas >2 cm to avoid complications such as bleeding and perforation. We report on a 61-year-old female patient who was diagnosed with a 4-cm descending colonic fat tumor detected by endoscopy and computed tomography and confirmed by pathology.

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