Ewha Med J.  2012 Mar;35(1):69-71. 10.12771/emj.2012.35.1.69.

A Case of Ileal Lipoma Misdiagnosed as Colonic Lipoma

• Noh GT
• Koo HS
• Lee RA

• KMID: 2134951
• DOI: http://doi.org/10.12771/emj.2012.35.1.69

Abstract

No abstract available.

MeSH Terms

Colon
Lipoma

Figure

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  Fig. 1 Colonoscopic findings. (A) Hyperemic ileocecal valve was observed. (B) No visible mass is found in the hepatic flexure of ascending colon.

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  Fig. 2 Abdominal computed tomography findings. (A) Well-defined, 3 cm sized low attenuated submucosal mass is identified on the hepatic flexure of ascending colon. (B) A round target-shaped mass is revealed in the right lower quadrant consisting of different densities.

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  Fig. 3 Macroscopic findings. (A) An ovoid shaped pedunculated submucosal mass is observed. (B) The cut surface shows lobulated yellowish adipose tissue with mixed thin fibrous tissue.

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  Fig. 4 Microscopic finding. The mass is located in the submucosa and composed of mature lipocytes (H&E stain, ×40).

Reference

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

2. Algin C, Hacioglu A, Aydin T, Ihtiyar E. Esophagectomy in esophageal lipoma: report of a case. Turk J Gastroenterol. 2006. 17:110–112.

3. Deeths TM, Madden PN, Dodds WJ. Multiple lipomas of the stomach and duodenum. Am J Dig Dis. 1975. 20:771–774.

4. Kim BC, Jung SW, Kwon SH, Park JS, Ko BK, Kim YM, et al. A case of jejuno-jejunal intussusception caused by a small intestinal lipoma. Korean J Med. 2008. 75:333–336.

5. Pemberton LB, Manax WG. Complete obstruction of the colon by lipoma. Surgery. 1971. 69:139–141.

6. Ryu KW, Kim DS, Hong BW, Lee JB, Moon HY, Choi SY. Diagnosis and treatment of adult intussusception due to gastrointestinal lipoma. J Korean Surg Soc. 2000. 59:61–66.

7. Heiken JP, Forde KA, Gold RP. Computed tomography as a definitive method for diagnosing gastrointestinal lipomas. Radiology. 1982. 142:409–414.