Korean Journal of Gastrointestinal Endoscopy  2007;35(5):355-358

A Case of a Colonic Giant Lipoma Removed by Endoscopic Resection.

Hyun Chul WHANG 1 ; Dong Han IM ; Joon Seok OH ; Hyun Ju KIM ; Hwa Mock LEE ; Youn Uk KO ; Won Il PARK ; Kwang Jin KIM ; Jin Kwang AN ; Ung Suk YANG

Affiliations

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Keywords

Colon lipoma; Endoscpic resction

Country

Republic of Korea

Language

Korean

Abstract

A gastrointestinal lipoma, though rare, is a mesencymal tumor of the large bowel, and the second most common benign colonic tumor detected after an adenomatous polyp. The lesion may be asymoptomatic when small and may be detected incidentally, usually during a colonoscopic examination for another purpose. Lipomas of the large bowel that are not causing symptoms probably need no treatment, as malignant transformation has not been documented. If the mass is large, it can cause pain, anal bleeding due to intussusception, bowel obstruction and diarrhea, and thus resection should be considered. Due to the risk of perforation, endoscopic resection of large colonic lipomas has been discouraged. However, large colonic lipomas can be removed safely by endoscopic resection with the use of an endoscopic ultrasonogram and submucosal injection to elevate the lesion.