A Case of Polypoid Angiolipoma of the Distal Descending Colon as Cause of Hematochezia.
- Author:
Bong Hwan KIM
1
;
Won Kyu LEE
;
Young Sam KIM
;
Yun Hyoung KIM
;
Yoo Soon KO
;
Tae Sik WON
;
Dae Jin KIM
;
Hyo Seung KANG
;
Dong Il BYUN
;
In Sik PARK
;
Soo Nam LEE
Author Information
1. Department of Internal Medicine, Incheon Christian Hospital, Incheon, Korea. kingmed67@empal.com
- Publication Type:Case Report
- Keywords:
Angiolipoma;
Colon;
Hematochezia;
Lower quadrant pain
- MeSH:
Abdominal Pain;
Adipose Tissue;
Angiolipoma*;
Blood Vessels;
Colon;
Colon, Descending*;
Colonoscopy;
Gastrointestinal Hemorrhage*;
Gastrointestinal Tract;
Humans;
Ileum;
Intussusception;
Korea;
Laparotomy;
Middle Aged;
Subcutaneous Tissue
- From:Korean Journal of Gastrointestinal Endoscopy
2007;34(2):115-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Angiolipoma is a benign tumor that is mainly observed in the subcutaneous tissue and is composed of mature adipose tissue and proliferative blood vessels. However, the condition is rare in the gastrointestinal tract including the colon. There was a case report of angiolipoma of the proximal ileum but there are no reports of angiolipoma of the colon in Korea. A 47-year-old man, who presented with intermittent left lower quadrant pain and hematochezia, underwent contrast enhancement CT, which revealed a huge mass with inhomogeneous density in the distal descending colon. The colonoscopy viewed a large polypoid mass with vascular engorgement, and a laparotomy was performed urgently due to the persistent abdominal pain, intussusception and hematochezia. The histology examination disclosed a benign angiolipoma. We report this case of symptomatic angiolipoma of the distal descending colon.
