| Endoscopic Resection of a Large Colonic Lipoma: Case Report and Review of Literature. | |
| | |
MedLine Citation:
|
PMID: 21103220 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Colonic lipomas are uncommon, benign, submucosal adipose tumors that are usually asymptomatic. Large lipomas can cause symptoms such as constipation, abdominal pain, rectal bleeding and intussusception. We report the case of a 60-year-old man with a history of lower abdominal pain and pseudoobstructive symptoms. Colonoscopy revealed a large polypoid sessile lesion in the sigma. We used a standardized technique of polypectomy, preceded by submucosal injection of dilute 5 ml polygelin with epinephrine 1:10,000 solution, to fully resect large colonic lipomas. The lipoma size was 3.5 cm. No bleeding or perforation developed. Histology showed the polyp to be a submucosul lipoma. On follow-up, there was no residual lesion. Colonic lipomas larger than 2 cm can be safely and efficaciously removed using electrosurgical snare polypectomy technique. The technique of submucosal injection before resection and using an electrocautery snare appears to be safe and reduces the risk of perforation reported in the literature. |
| | |
Authors:
|
Girolamo Geraci; Franco Pisello; Enrico Arnone; Antonio Sciuto; Giuseppe Modica; Carmelo Sciumè |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2010-2-03 |
Journal Detail:
|
Title: Case reports in gastroenterology Volume: 4 ISSN: 1662-0631 ISO Abbreviation: - Publication Date: 2010 |
Date Detail:
|
Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101474819 Medline TA: Case Rep Gastroenterol Country: - |
Other Details:
|
Languages: ENG Pagination: 6-11 Citation Subset: - |
Affiliation:
|
Section of General and Thoracic Surgery, Division of Surgical Endoscopy, University of Palermo School of Medicine, Palermo, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The Diagnostic Value of Endoscopic Balloon Catheter Usage for Detecting Early-Stage Primary Sclerosi...
Next Document: A Strange Case of Left Bowel Ischemia after Right Hernioplasty.