title: Giant ulcerated lipoma of the colon causing iron deficiency anemia successfully treated with endoscopic ultrasound-assisted resection.
abstract: Colonic lipomas are frequently small and asymptomatic. Giant colonic lipoma (GCL) is an uncommon finding at endoscopy, and ulceration with occult blood loss leading to iron deficiency anemia (IDA) is even rarer. The choice of therapeutic procedure to treat symptomatic GCLs has been controversial. We hereby report a case of an ulcerated GCL that presented with occult bleeding and IDA. IDA resolved after the GCL was removed successfully combining endoloop ligation and snare cautery technique under endoscopic ultrasound (EUS) guidance. With the advent of EUS, endoscopic resection of submucosal tumors can be performed relatively safely by providing a viable and useful alternative to surgery.
authors.affiliation: Department of Gastroenterology, Wright State University, School of Medicine, Dayton, OH 45428, USA. rekibria@gmail.com
authors.forename: Rizwan
authors.initials: R
authors.lastname: Kibria
authors.forename: Qasim
authors.initials: Q
authors.lastname: Khalil
authors.forename: Urmee
authors.initials: U
authors.lastname: Siraj
authors.forename: Syed A
authors.initials: SA
authors.lastname: Ali
authors.forename: Salma
authors.initials: S
authors.lastname: Akram
mesh_terms: D000368:Aged; D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D002425:Cautery; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy; D006801:Humans; D008067:Lipoma / Q000473:pathology / Q000601:surgery*; D008297:Male; D009780:Occult Blood; D010437:Peptic Ulcer / Q000473:pathology; D018608:Ultrasonography, Doppler; D018084:Ultrasonography, Interventional