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[Submucosal lipoma of the colon: abdominal cramps with rectal bleeding and weight loss].
Ned Tijdschr Geneeskd. 2006 Sep 09; 150(36):1990-3.NT

Abstract

An 81-year-old woman had abdominal cramps, rectal bleeding since 2 weeks and weight loss. Colonoscopy showed an ulcerating tumour of about 4 cm in the transverse colon. Pathological examination of biopsies taken during colonoscopy indicated moderately active chronic colitis. Based on the colonoscopy findings, the tumour appeared to be malignant and laparotomy was performed and the transverse colon was resected. Pathological examination of the resected lesion revealed a submucosal lipoma. The patient recovered fully. Lipomas account for 4% of benign gastrointestinal tumours and 90% of lipomas are submucosal. Their presentation is often similar to malignant tumours. The naked fat sign after biopsy and the elasticity of the lesion are typical features encountered during colonoscopy. Given the high fat content of these lesions, they are easily discernible with CT and MRI. Lipomas with a diameter < 2 cm can be safely removed endoscopically. Larger lesions should be removed by segment resection.

Authors+Show Affiliations

Universitair Medisch Centrum Utrecht, afd. Heelkunde, Postbus 85.500, 3508 GA Utrecht. s.h.w.deruijter@umcutrecht.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

dut

PubMed ID

17002189

Citation

de Ruijter, S H W., et al. "[Submucosal Lipoma of the Colon: Abdominal Cramps With Rectal Bleeding and Weight Loss]." Nederlands Tijdschrift Voor Geneeskunde, vol. 150, no. 36, 2006, pp. 1990-3.
de Ruijter SH, van Marle AG, Doornewaard H, et al. [Submucosal lipoma of the colon: abdominal cramps with rectal bleeding and weight loss]. Ned Tijdschr Geneeskd. 2006;150(36):1990-3.
de Ruijter, S. H., van Marle, A. G., Doornewaard, H., & Melse, J. C. (2006). [Submucosal lipoma of the colon: abdominal cramps with rectal bleeding and weight loss]. Nederlands Tijdschrift Voor Geneeskunde, 150(36), 1990-3.
de Ruijter SH, et al. [Submucosal Lipoma of the Colon: Abdominal Cramps With Rectal Bleeding and Weight Loss]. Ned Tijdschr Geneeskd. 2006 Sep 9;150(36):1990-3. PubMed PMID: 17002189.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Submucosal lipoma of the colon: abdominal cramps with rectal bleeding and weight loss]. AU - de Ruijter,S H W, AU - van Marle,A G J, AU - Doornewaard,H, AU - Melse,J C, PY - 2006/9/28/pubmed PY - 2006/10/20/medline PY - 2006/9/28/entrez SP - 1990 EP - 3 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 150 IS - 36 N2 - An 81-year-old woman had abdominal cramps, rectal bleeding since 2 weeks and weight loss. Colonoscopy showed an ulcerating tumour of about 4 cm in the transverse colon. Pathological examination of biopsies taken during colonoscopy indicated moderately active chronic colitis. Based on the colonoscopy findings, the tumour appeared to be malignant and laparotomy was performed and the transverse colon was resected. Pathological examination of the resected lesion revealed a submucosal lipoma. The patient recovered fully. Lipomas account for 4% of benign gastrointestinal tumours and 90% of lipomas are submucosal. Their presentation is often similar to malignant tumours. The naked fat sign after biopsy and the elasticity of the lesion are typical features encountered during colonoscopy. Given the high fat content of these lesions, they are easily discernible with CT and MRI. Lipomas with a diameter < 2 cm can be safely removed endoscopically. Larger lesions should be removed by segment resection. SN - 0028-2162 UR - https://www.unboundmedicine.com/medline/citation/17002189/[Submucosal_lipoma_of_the_colon:_abdominal_cramps_with_rectal_bleeding_and_weight_loss]_ DB - PRIME DP - Unbound Medicine ER -