Characteristic appearances of colonic lipomas on barium enema: a guide to conservative management.
The double contrast barium enema appearances of seven colonic lipomas are reviewed. These lesions have submucosal features: intact mucosa, sharp margination and obtuse angles between the lesion and the adjacent colonic wall, as well as features characteristic of lipomas: pliability and shape change, broad pedicles and spherical appearances en face. They can be differentiated from the more significant colonic adenomas and then CT scanned to establish a histological diagnosis. The need for colonoscopic or surgical excision of these predominantly asymptomatic lesions occurring in elderly patients can be considerably reduced.
Davis
S J
SJ
Department of Diagnostic Radiology, Royal Perth Hospital, Western Australia.
Yoong
M F
MF
D000368:Aged; D001466:Barium Sulfate; D003110:Colonic Neoplasms / Q000000981:diagnostic imaging*; D004733:Enema; D005260:Female; D006801:Humans; D008067:Lipoma / Q000000981:diagnostic imaging*; D008297:Male; D011029:Pneumoradiography; D014057:Tomography, X-Ray Computed
D001466:Barium Sulfate