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A Journal on Surgery

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Chirurgia 2010 August;23(4):139-42

language: English

Laparoscopic resection of a large colonic lipoma causing intermittent colonic intussusception

Benetatos N., Bikos S., Mavridou P., Tsimoyiannis E.

Department of Surgery, “G. Hatzikosta” General Hospital of Ioannina, Ioannina, Greece


Colonic lipomas are the most common non epithelial tumors. Even if the majority of them are small and asymptomatic, large lesions may produce symptoms as abdominal pain, hemorrhage, diarrhea and intussusception. We report a case of 56 year old man who suffered from non specific recurrent abdominal pain, changes in bowel habits and a palpable mass in the left abdomen. During colonoscopy a giant intraluminal polyp of the descending colon was diagnosed. Abdominal computer tomography and barium enema revealed the intussuscepted tumor. A laparoscopic assisted regional colectomy was performed. Histology confirmed a benign lipoma. Aspects of preoperative diagnosis, clinical features, treatment and review of the current literature are discussed of this uncommon disease.

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