Colonic lipoma is an uncommon benign non-epithelial tumor of the gastrointestinal tract. It typically occurs in the ascending colon and among old female patients. Most cases are asymptomatic and do not require any spe...Colonic lipoma is an uncommon benign non-epithelial tumor of the gastrointestinal tract. It typically occurs in the ascending colon and among old female patients. Most cases are asymptomatic and do not require any special treatment. However, we encountered a young male patient with a symptomatic lipoma located in the transverse colon that induced a transcolocolonic intussusception. He presented with such symptoms as diarrhea, tenesmus, abdominal pain, and weight loss. Colonoscopy revealed a spherical polypoid lesion with partial congestion and ulceration on its surface, and the related biopsy and inflammatory cell infiltration. revealed spindle cell hyperplasia Reduction of the intussusception was not attempted, and transverse hemicolectomy was conducted. Although several novel techniques have been reported for the diagnosis and treatment of colonic lipoma, for our case patient, an exact diagnosis was made postoperatively via histological examina- tion and laparotomy was performed.展开更多
基金This work was supported by the National Science Foundation of China （Grant Nos. 30972879 and81172370）, the Specialized Research Fund for the Doctoral Program of Higher Education （Grant No. 200801590006）, and the Natural Science Foundation of Liaoning Province （Grant No. 20092129）
文摘Colonic lipoma is an uncommon benign non-epithelial tumor of the gastrointestinal tract. It typically occurs in the ascending colon and among old female patients. Most cases are asymptomatic and do not require any special treatment. However, we encountered a young male patient with a symptomatic lipoma located in the transverse colon that induced a transcolocolonic intussusception. He presented with such symptoms as diarrhea, tenesmus, abdominal pain, and weight loss. Colonoscopy revealed a spherical polypoid lesion with partial congestion and ulceration on its surface, and the related biopsy and inflammatory cell infiltration. revealed spindle cell hyperplasia Reduction of the intussusception was not attempted, and transverse hemicolectomy was conducted. Although several novel techniques have been reported for the diagnosis and treatment of colonic lipoma, for our case patient, an exact diagnosis was made postoperatively via histological examina- tion and laparotomy was performed.
