[Lipoma of the colon as an unusual cause of recurring partial intestinal occlusion. Clinical case and review of the literature].
A case of a symptomatic colonic lipoma causing recurrent abdominal pain and intestinal obstruction, not treated is reported. Lipomas are the most common mesenchymal benign tumors that can be found in the colon and are second as frequence only to the adenomatous polyps. In 65% of cases the lipomas are located in the large bowel and represent the most common cause of intestinal intussusception in the adult. Lipomas are most frequent in the right colon (40%-68%) an opposite distribution in comparison with adenocarcinomas and adenomatous polyps. When their diameter is more than 3 cm, lipomas become symtomatic. In lipomas less then 2 cm in diameter it is possible an endoscopic removal while for bigger sizes the surgical laparoscopic approach is recommended.
Ospedale, Divisione di Chirurgia Generale, Azienda USL n. 9, Ivrea, Torino.
D
D
Cossavella
G
G
Clerico
L
L
Rosato
P V
PV
Galetto
O
O
Paino
M
M
Trompetto
A R
AR
Luc
M
M
Pozzo
D000368:Aged; D003110:Colonic Neoplasms / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D010535:Laparoscopy; D008067:Lipoma / Q000150:complications* / Q000601:surgery; D008297:Male; D012008:Recurrence