Presentation
Case presentation A 72-year-old Sri Lankan Sinhalese man presented to our clinic with a 3-month history of worsening mucoid diarrhea. [jmedicalcasereports.biomedcentral.com]
[…] of symptoms.10 Due to similarities in age and symptoms, colonic lipomas may mimic malignancy in presentation. [ncbi.nlm.nih.gov]
Clinical manifestations include a wide range of patients from those who are incidentally, to patients presenting with life-threatening complications. [scienceopen.com]
Giant colonic lipoma presenting as intermittent obstruction. Clin Gastroenterol Hepatol 2006;4, xxv. Rogy MA, Mirza D, Berlakovich G,Winkelbauer F, Rauhs R. Submucous large-bowel lipomas—presentation and management. An 18-year study. [sapd.es]
Entire Body System
- Asymptomatic
Keywords: Colon lipoma, Case report, Review literature INTRODUCTION Colon lipoma is generally mildly symptomatic or asymptomatic. [ncbi.nlm.nih.gov]
The majority are asymptomatic but may cause abdominal pain, obstruction, or bleeding. The diagnosis can be made roentgenographically but is usually not made until operation is performed. [jamanetwork.com]
Peer Review reports Background Colonic lipomas are rare mesenchymal tumors that are usually asymptomatic. [jmedicalcasereports.biomedcentral.com]
Most cases are asymptomatic with a small tumor size. However, they may be giant, symptomatic, or complicated. We report two cases of giant symptomatic colonic lipomas including a case of colocolic intussusception. [link.springer.com]
- Pain
The majority are asymptomatic but may cause abdominal pain, obstruction, or bleeding. The diagnosis can be made roentgenographically but is usually not made until operation is performed. [jamanetwork.com]
CASE REPORT An 83-year-old woman was admitted to the General Surgery Department of our hospital on January 2003 for intermittent mild anal pain. She denied any abdominal pain, constipation, diarrhea, hematochezia or melena. [ncbi.nlm.nih.gov]
Consequently, all advantages of vaginal hysterectomy (no abdominal scars, faster recovery, and less pain) and endoscopic surgery (more space and magnified vision) can be achieved in this form of surgery. [websurg.com]
However, large lesions have been described to cause symptoms like abdominal pain, constipation, diarrhea, and even obstruction due to intussusception [1]. [jmedicalcasereports.biomedcentral.com]
- Weight Loss
He had no loss of appetite or weight loss. His medical history was unremarkable except for dyslipidemia, for which he was taking atorvastatin (10 mg daily). He had no history of past surgery. [jmedicalcasereports.biomedcentral.com]
Gastrointestinal
- Abdominal Pain
The majority are asymptomatic but may cause abdominal pain, obstruction, or bleeding. The diagnosis can be made roentgenographically but is usually not made until operation is performed. [jamanetwork.com]
However, large lesions have been described to cause symptoms like abdominal pain, constipation, diarrhea, and even obstruction due to intussusception [1]. [jmedicalcasereports.biomedcentral.com]
The common symptoms of colon lipomas include abnormal bowel habits, abdominal pain, diarrhea, rectal bleeding, abdominal discomfort and melena. [ncbi.nlm.nih.gov]
- Rectal Bleeding
The symptoms can vary with the location and the size of the tumor, and include abdominal pain, change in bowel habits, rectal bleeding, obstruction, perforation, intussusception, prolapse, and even massive hemorrhage. [jmedicalcasereports.biomedcentral.com]
The common symptoms of colon lipomas include abnormal bowel habits, abdominal pain, diarrhea, rectal bleeding, abdominal discomfort and melena. [ncbi.nlm.nih.gov]
- Constipation
However, large lesions have been described to cause symptoms like abdominal pain, constipation, diarrhea, and even obstruction due to intussusception [1]. [jmedicalcasereports.biomedcentral.com]
She denied any abdominal pain, constipation, diarrhea, hematochezia or melena. She had a past medical history of cerebral infarction for at least 10 years, and no cancer records were available. [ncbi.nlm.nih.gov]
- Diarrhea
Submucosal lipoma of the sigmoid colon as a rare cause of mucoid diarrhea: a case report. [jmedicalcasereports.biomedcentral.com]
The common symptoms of colon lipomas include abnormal bowel habits, abdominal pain, diarrhea, rectal bleeding, abdominal discomfort and melena. [ncbi.nlm.nih.gov]
- Loss of Appetite
He had no loss of appetite or weight loss. His medical history was unremarkable except for dyslipidemia, for which he was taking atorvastatin (10 mg daily). He had no history of past surgery. [jmedicalcasereports.biomedcentral.com]
Skin
- Ulcer
Large ulcerated cecal lipoma mimicking malignancy. World J Gastrointest Oncol. 2010;2:304–306. [PMC free article] [PubMed] [Google Scholar] 12. Martin P, Sklow B, Adler DG. [ncbi.nlm.nih.gov]
Large lesions can develop surface ulceration that leads to bleeding, giving rise to a varied combination of symptoms. [jmedicalcasereports.biomedcentral.com]
Eyes
- Prolapse
The symptoms can vary with the location and the size of the tumor, and include abdominal pain, change in bowel habits, rectal bleeding, obstruction, perforation, intussusception, prolapse, and even massive hemorrhage. [jmedicalcasereports.biomedcentral.com]
Psychiatrical
- Suggestibility
The epidemiological, macroscopic, and clinical presentation can sometimes suggest a malignant nature, although malignant transformation does not occur [2]. [jmedicalcasereports.biomedcentral.com]
Workup
Serum
- Dyslipidemia
His medical history was unremarkable except for dyslipidemia, for which he was taking atorvastatin (10 mg daily). He had no history of past surgery. [jmedicalcasereports.biomedcentral.com]
Colonoscopy
- Polyps
À voir également Vidéo chirurgicale Abstract Endoscopic polypectomy for symptomatic large sigmoid polyp Endoscopic polypectomy for colorectal polyps is a common procedure. [websurg.com]
Both surgical and endoscopic resection of colonic lipomas show good outcomes with no known recurrence after complete removal.18 The key take-home message should be that while most colonic lipomas are small and asymptomatic, larger lesions may mimic polyps [ncbi.nlm.nih.gov]
Pathologically, 54.5% of the intussusceptions had a tumor, of which 27.3% were malignant. 9.1% comprised nontumorous polyps. Four intussusceptions had a gastrojejunostomy with intestinal intubation, and four intussusceptions had no organic lesion. [scienceopen.com]
Treatment
The diagnosis of external hemorrhoid was established and conservative treatment was adopted. [ncbi.nlm.nih.gov]
The treatment for symptomatic or large lipomas is surgical excision. (Arch Surg 113:897-899, 1978) Full Text [jamanetwork.com]
Safe endoscopic treatment of large colonic lipomas using endoscopic looping technique. Dig Liver Dis 2008;40(12):958-61. Lee SH, Park JH, Park do H, Chung IK, Kim HS, Park SH, et al. [sapd.es]
However, endoscopic treatment of large polyps (diameter exceeding 2cm) remains questionable. It is admitted that there is a serious risk of colorectal carcinoma inside these large lesions, which could well require surgical intervention. [websurg.com]
Prognosis
Despite progress in the current methods of study, the diagnosis remains a challenge for the general surgeon, an impact crucially on the prognosis of patients due to the need for a high index of suspicion to avoid extensive surgery to increase patient [scienceopen.com]
Etiology
[…] coworkers—are useful in the diagnosis of a typical lipoma.10 However, the presence of intussception, irregular margins, lymph node enlargement, or thickening of the bowel wall—in association with a mass seen on imaging—raises suspicion for a malignant etiology [ncbi.nlm.nih.gov]
Epidemiology
The epidemiological, macroscopic, and clinical presentation can sometimes suggest a malignant nature, although malignant transformation does not occur [2]. [jmedicalcasereports.biomedcentral.com]