A Management Dilemma - Submucosal Colonic Lipoma (A Case Series)

Sreevathsa MR, Nishnata K and Bhavyadeep K

Department of Surgery, Ramaiah Medical College Hospital, India

^*Correspondance to: Sreevathsa MR 

 PDF  Full Text DOI: 10.25107/2474-1647.2268

Abstract

Submucosal lipoma of the colon is a rare tumour of the gastrointestinal tract with an incidence of 0.15% to 4.4%. It can be asymptomatic and usually is discovered on CT imaging or suspected during colonoscopy. Hence the diagnosis might be uncovered when being investigated for nonspecific abdominal complaints. When the tumour is found ulcerated on colonoscopy, it can mimic carcinoma. They can become symptomatic by producing obstruction either by intussuscepting or mechanical blockage, and rarely, by producing lower GI bleeding. An algorithm needs to be developed for management of colonic lipoma as the patient ends up having a radical resection rather than conservative excision by being mistakenly interpreted as malignant lesions. We report a case series of four elderly patients with two presenting as intussusceptions and the other two presenting with non-specific abdominal pain, with malignancy suspected in three of them.

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Cite the article

Sreevathsa MR, Nishnata K, Bhavyadeep K. A Management Dilemma - Submucosal Colonic Lipoma (A Case Series). Clin Surg. 2018; 3: 2268.