Abstract
Lipomas are benign mesenchymal tumors that derived from mature adipocytes and frequently observed in soft tissue. Colonic lipomas are rare, and the incidence of colonic lipomas ranges from 0.2 to 4.4%. They have been noted to occur more frequently in women, and most patients are in their fifth or sixth decade of life. Generally, they are located on the right side, particularly in the cecum. They are often solitary, small, asymptomatic and incidentally detected. However, depending on the tumor size and location they can result in abdominal pain, gastrointestinal bleeding, bowel obstruction, or intussusception. Usually, lipomas larger than 2 cm are symptomatic. Histopathologically, a well-circumscribed tumoral lesion located in the submucosa, separated from the mucosa by a capsule, consisting of mature adipose tissue is observed. Definitive diagnosis can only be made by histopathological examination. Surgical removal of the lesion is necessary both for treatment and to exclude malignancy. We report a case of a 56-year-old female who admitted to the emergency department with abdominal pain, clinically operated on suspicion of malignancy colon lipoma.
Keywords
References
- Fléjou JF. Non-epithelial tumours of the large intestine. In: Shepherd NA, Warren BF, Williams GT, Greenson JK, Lauwers GY, Novelli MR, editors. Morson and Dowson’s Gastrointestinal Pathology. 5th ed. Hoboken, New Jersey:Wiley-Blackwell; 2013. p.741.
- Peters M.B. et al. Laparoscopic Management of Colonic Lipomas: A Case Report and Review of the Literature. JSLS 2005;9(3): 342–344.
- Farfour A.N, AbuOmar N.A, Alsohaibani F.I. Large lipoma of the ascending colon: a case report and review of literatüre. Journal of Surgical Case Reports 2020;9:1–3. https://doi.org/10.1093/jscr/rjaa354.
- Paksoy S, Altun E, Başbuğ M, AlışSöyleyici N. Submüköz Kolon Lipomu: Bir Olgu Sunumu. Balıkesir Medical Journal 2019;3(3):122-128. https://doi.org/10.33716 bmedj.630340.
- Küçük Ü, Özer E, Anuk T. Rektal Yerleşimli Submukozal Lipom: Olgu Sunumu. Türk Patoloji Dergisi 2009; 25(2):47-49.
- Zhang H, Cong JC, Chen CS, Qiao L, Liu EQ. Submucous colon lipoma: a case report and review of the literature. World J Gastroenterol 2005;11:3167–9. https://doi.org/10.3748/wjg.v11.i20.3167
- Lee CS, Lee MJ, Kim KL, Baik GH, Kim JB, et al. A case of giant lipoma causing chronic recurrent intussusception of the colon. Clin Endosc 2012;45(2):165-8. https://doi.org/10.5946/ce.2012.45.2.165
- Sapalidis K, Laskou S, Kosmidis C, Passos I, et al. Symptomatic colonic lipomas: Report of two cases and a review of the literatüre. SAGE Open Medical Case Reports 2019;7:1-5. https://doi.org/10.1177/2050313X19830477
- Erhan SŞ, Keser SH, Yılmaz M, Çitoğlu S. Kolonik Lipom: Olgu Sunumu. ODÜ Tıp Dergisi 2015; 2: 96-99.
Abstract
Lipom, matür adipoz dokudan gelişen ve yumuşak dokuda sık gözlenen benign mezenkimal bir tümördür. Kolon yerleşimi nadir olup insidansı %0,2-4 olarak bildirilmektedir. Çoğunlukla 5.-6. dekatta, kadın hastalarda görülür. En sık çekum ve çıkan kolon yerleşimlidir. Sıklıkla soliter, küçük ve asemptomatik olup insidental olarak saptanır. Ancak tümör boyutuna ve yerleşim yerine bağlı olarak karın ağrısı, kanama, invajinasyon bulguları, obstrüksiyon bulguları göstererek klinik ve radyolojik olarak maligniteyi taklit edebilir. Bu nedenle preoperatif dönemde tanınması zordur. Genellikle 2 cm’den büyük olan lipomlar semptomatiktir. Histopatolojik olarak sıklıkla submukoza yerleşimli, mukozadan kapsülle ayrılan, matür adipoz dokudan oluşan, iyi sınırlı tümöral lezyon izlenir. Kesin tanı ancak histopatolojik incelemeyle konulabilir. Lezyonun cerrahi olarak çıkarılması hem tedavi için hem de malignensi tanısını dışlamak için gereklidir. Karın ağrısı şikâyeti ile acil servise başvuran, 52 yaşındaki kadın hastada klinik olarak maligniteyi taklit eden kolon lipomu olgusu sunuldu.
Keywords
References
- Fléjou JF. Non-epithelial tumours of the large intestine. In: Shepherd NA, Warren BF, Williams GT, Greenson JK, Lauwers GY, Novelli MR, editors. Morson and Dowson’s Gastrointestinal Pathology. 5th ed. Hoboken, New Jersey:Wiley-Blackwell; 2013. p.741.
- Peters M.B. et al. Laparoscopic Management of Colonic Lipomas: A Case Report and Review of the Literature. JSLS 2005;9(3): 342–344.
- Farfour A.N, AbuOmar N.A, Alsohaibani F.I. Large lipoma of the ascending colon: a case report and review of literatüre. Journal of Surgical Case Reports 2020;9:1–3. https://doi.org/10.1093/jscr/rjaa354.
- Paksoy S, Altun E, Başbuğ M, AlışSöyleyici N. Submüköz Kolon Lipomu: Bir Olgu Sunumu. Balıkesir Medical Journal 2019;3(3):122-128. https://doi.org/10.33716 bmedj.630340.
- Küçük Ü, Özer E, Anuk T. Rektal Yerleşimli Submukozal Lipom: Olgu Sunumu. Türk Patoloji Dergisi 2009; 25(2):47-49.
- Zhang H, Cong JC, Chen CS, Qiao L, Liu EQ. Submucous colon lipoma: a case report and review of the literature. World J Gastroenterol 2005;11:3167–9. https://doi.org/10.3748/wjg.v11.i20.3167
- Lee CS, Lee MJ, Kim KL, Baik GH, Kim JB, et al. A case of giant lipoma causing chronic recurrent intussusception of the colon. Clin Endosc 2012;45(2):165-8. https://doi.org/10.5946/ce.2012.45.2.165
- Sapalidis K, Laskou S, Kosmidis C, Passos I, et al. Symptomatic colonic lipomas: Report of two cases and a review of the literatüre. SAGE Open Medical Case Reports 2019;7:1-5. https://doi.org/10.1177/2050313X19830477
- Erhan SŞ, Keser SH, Yılmaz M, Çitoğlu S. Kolonik Lipom: Olgu Sunumu. ODÜ Tıp Dergisi 2015; 2: 96-99.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 1, 2022 |
| Submission Date | April 28, 2021 |
| Acceptance Date | December 19, 2021 |
| Published in Issue | Year 2022 Volume: 13 Issue: 46 |
