A Case of Giant Lipoma Causing Chronic Recurrent Intussusception of the Colon
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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.
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.
참고문헌 (14)
- Ladurner R, "Laparoscopic-assisted resection of giant sigmoid lipoma under colonoscopic guidance", Surg Endosc, 17, pp.160~ (2003)
- Suárez Moreno RM, "Multiple intestinal lipomatosis. Case report", Cir Cir, 78, pp.163~165 (2010)
- Bardají M, "Symptomatic colonic lipoma: differential diagnosis of large bowel tumors", Int J Colorectal Dis, 13, pp.1~2 (1998)
- Rogy MA, "Submucous large-bowel lipomas: presentation and management. An 18-year study", Eur J Surg, 157, pp.51~55 (1991)
- Triantopoulou C, "Adult ileocolic intussusception secondary to a submucosal cecal lipoma", Abdom Imaging, 29, pp.426~428 (2004)
- Gayer G, "Intussusception: not only a childhood disease", Isr Med Assoc J, 3, pp.962~ (2001)
- Siegal A, "Gastrointestinal lipoma and malignancies", J Surg Oncol, 47, pp.170~174 (1991)
- Bahadursingh AM, "Giant submucosal sigmoid colon lipoma", Am J Surg, 186, pp.81~82 (2003)
- Yu HG, "A safe and efficient strategy for endoscopic resection of large, gastrointestinal lipoma", Surg Endosc, 21, pp.265~269 (2007)
- Seong SG, "A case of small bowel lipoma resulting intussusception", Korean J Gastroenterol, 29, pp.543~548 (1997)
- Zhang H, "Submucous colon lipoma: a case report and review of the literature", World J Gastroenterol, 11, pp.3167~3169 (2005)
- Wang N, "Adult intussusception: a retrospective review of 41 cases", World J Gastroenterol, 15, pp.3303~3308 (2009)
- Tamura S, "“Giant” colon lipoma: what kind of findings are necessary for the indication of endoscopic resection?", Am J Gastroenterol, 96, pp.1944~1946 (2001)
- 배중호, "장중첩을 유발한 거대 유경성 대장 점막하 지방종 1예", Clinical Endoscopy, 32(2), pp.147~151 (2006), 대한소화기내시경학회