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KMID : 0359020070350050355
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 5 p.355 ~ p.358
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A Case of a Colonic Giant Lipoma Removed by Endoscopic Resection
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Whang Hyun-Chul
Im Dong-Han
Oh Joon-Seok
Kim Hyun-Ju
Lee Hwa-Mock
Ko Youn-Uk
Park Won-Il
Kim Kwang-Jin
An Jin-Kwang
Yang Ung-Suk
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Abstract
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A gastrointestinal lipoma, though rare, is a mesencymal tumor of the large bowel, and the second most common benign colonic tumor detected after an adenomatous polyp. The lesion may be asymoptomatic when small and may be detected incidentally, usually during a colonoscopic examination for another purpose. Lipomas of the large bowel that are not causing symptoms probably need no treatment, as malignant transformation has not been documented. If the mass is large, it can cause pain, anal bleeding due to intussusception, bowel obstruction and diarrhea, and thus resection should be considered. Due to the risk of perforation, endoscopic resection of large colonic lipomas has been discouraged. However, large colonic lipomas can be removed safely by endoscopic resection with the use of an endoscopic ultrasonogram and submucosal injection to elevate the lesion. (Korean J Gastrointest Endosc 2007;35:355-358)
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KEYWORD
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Colon lipoma, Endoscpic resction
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