Korean J Gastroenterol.  2023 Nov;82(5):261-264. 10.4166/kjg.2023.122.

Endoscopic Removal of a Giant Lipoma with Pseudopedicle

• Cho HM
• Park SB

• KMID: 2548497
• DOI: http://doi.org/10.4166/kjg.2023.122

Figure

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  Fig. 1 Colonoscopic features. (A) 4 cm sized hyperemic subepithelial lesion at the ileocecal valve. (B) Thick stalk more than 1 cm in width.

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  Fig. 2 Endoscopic mucosal procedure. (A) Prophylactic clipping before mucosal resection. (B) Mucosal resection after endoloop application.

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  Fig. 3 After endoscopic mucosal resection. (A) Muscle exposure and suspected perforation. (B) Clipping on suspected perforation site. (C) Retrieval of the giant lipoma using an endoscopic retrograde cholangiopancreatography basket.

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  Fig. 4 (A) Gross specimen of the giant lipoma. (B) Histopathology reveals an adipose tissue fragment within the section of the endoscopic mucosal resection margin, as highlighted in a red box from (A) (H&E, x4).

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  Fig. 5 Histopathology reveals mature adipocytes and muscularis propria within the terminal section of the endoscopic mucosal resection margin, as highlighted in a red box from Fig. 4B (H&E, x40).

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