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Peeling a giant ileal lipoma with endoscopic unroofing and submucosal dissection.
World J Gastroenterol. 2010 Apr 07; 16(13):1676-9.WJ

Abstract

Lipoma is relatively common in the colon but is less often in the small intestine. Most lipomas are incidentally detected at endoscopy and are usually small and asymptomatic. However, some of them can present with obstruction and/or intussusceptions. Surgical resection is commonly recommended to remove such significant lipomas with a limited pedicle and larger than 2 cm in size, as endoscopic resection may result in unfavorable complications such as intestinal perforations. We report a case of 62-year-old man presenting with hematochezia. Colonoscopy showed a submucosal tumor, about 50 mm in size, in the terminal ileum. A clinical diagnosis of lipoma was established based on the findings of colonoscopy and abdominal computed tomography (CT). As the patient complained of hematochezia and mild iron deficiency anemia associated with repeated tumor prolapse, we decided to remove his lipoma. Consequently, the lesion was completely removed en bloc. Although abdominal CT immediately after removal of the lesion showed a small amount of free air, conservative treatment was successfully carried out for the perforation. Histologically, the removed lesion was a lipoma.

Authors+Show Affiliations

Department of Gastroenterology, Juntendo University Nerima Hospital, Tokyo 177-8521, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20355250

Citation

Morimoto, Takashi, et al. "Peeling a Giant Ileal Lipoma With Endoscopic Unroofing and Submucosal Dissection." World Journal of Gastroenterology, vol. 16, no. 13, 2010, pp. 1676-9.
Morimoto T, Fu KI, Konuma H, et al. Peeling a giant ileal lipoma with endoscopic unroofing and submucosal dissection. World J Gastroenterol. 2010;16(13):1676-9.
Morimoto, T., Fu, K. I., Konuma, H., Izumi, Y., Matsuyama, S., Ogura, K., Miyazaki, A., & Watanabe, S. (2010). Peeling a giant ileal lipoma with endoscopic unroofing and submucosal dissection. World Journal of Gastroenterology, 16(13), 1676-9.
Morimoto T, et al. Peeling a Giant Ileal Lipoma With Endoscopic Unroofing and Submucosal Dissection. World J Gastroenterol. 2010 Apr 7;16(13):1676-9. PubMed PMID: 20355250.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Peeling a giant ileal lipoma with endoscopic unroofing and submucosal dissection. AU - Morimoto,Takashi, AU - Fu,Kuang-I, AU - Konuma,Hironori, AU - Izumi,Yuko, AU - Matsuyama,Syujirou, AU - Ogura,Kanako, AU - Miyazaki,Akihisa, AU - Watanabe,Sumio, PY - 2010/4/1/entrez PY - 2010/4/1/pubmed PY - 2010/7/30/medline SP - 1676 EP - 9 JF - World journal of gastroenterology JO - World J. Gastroenterol. VL - 16 IS - 13 N2 - Lipoma is relatively common in the colon but is less often in the small intestine. Most lipomas are incidentally detected at endoscopy and are usually small and asymptomatic. However, some of them can present with obstruction and/or intussusceptions. Surgical resection is commonly recommended to remove such significant lipomas with a limited pedicle and larger than 2 cm in size, as endoscopic resection may result in unfavorable complications such as intestinal perforations. We report a case of 62-year-old man presenting with hematochezia. Colonoscopy showed a submucosal tumor, about 50 mm in size, in the terminal ileum. A clinical diagnosis of lipoma was established based on the findings of colonoscopy and abdominal computed tomography (CT). As the patient complained of hematochezia and mild iron deficiency anemia associated with repeated tumor prolapse, we decided to remove his lipoma. Consequently, the lesion was completely removed en bloc. Although abdominal CT immediately after removal of the lesion showed a small amount of free air, conservative treatment was successfully carried out for the perforation. Histologically, the removed lesion was a lipoma. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/20355250/Peeling_a_giant_ileal_lipoma_with_endoscopic_unroofing_and_submucosal_dissection_ L2 - http://www.wjgnet.com/1007-9327/full/v16/i13/1676.htm DB - PRIME DP - Unbound Medicine ER -