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Endoscopic resection of a giant colonic lipoma with endoloop-assisted unroofing technique: A case report.
Medicine (Baltimore). 2018 Jun; 97(23):e10995.M

Abstract

RATIONALE

Colonic lipomas are uncommon benign submucosal adipose tumorsthat are usually asymptomatic. Large lipomas can cause symptoms require treatment in principle. We report 1 case of giant colonic lipoma removed with endoloop-assisted unroofing technique instead of conventional surgical bowel resection.

PATIENT CONCERNS

A 62-year-old female patient presented with intermittent abdominal discomfort for 1 month.

DIAGNOSIS

The patient was diagnosed as having a giant colonic lipoma.

INTERVENTION

Endoscopic resection with endoloop-assisted unroofing technique was performed. On the 22nd day after resection, intestinal obstruction occurred by shedding mass was found; the symptoms of this patient disappeared soon after removal of the mass by endoscopy.

OUTCOMES

A follow-up colonoscopy 6 months later showed a scarred mucosa at the ligation site and no residual lipoma was observed.

LESSONS

Endoscopic resection with endoloop-assisted unroofing technique remains a viable option for giant lipomas; however, postoperative intestinal obstruction caused by shedding mass should be noted.

Authors+Show Affiliations

Department of Endoscopy, Tianjin Union Medical Center, 190, Jieyuan Road, Hongqiao District, Tianjin, China.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29879057

Citation

Shi, Lei, et al. "Endoscopic Resection of a Giant Colonic Lipoma With Endoloop-assisted Unroofing Technique: a Case Report." Medicine, vol. 97, no. 23, 2018, pp. e10995.
Shi L, Zhao Y, Li W. Endoscopic resection of a giant colonic lipoma with endoloop-assisted unroofing technique: A case report. Medicine (Baltimore). 2018;97(23):e10995.
Shi, L., Zhao, Y., & Li, W. (2018). Endoscopic resection of a giant colonic lipoma with endoloop-assisted unroofing technique: A case report. Medicine, 97(23), e10995. https://doi.org/10.1097/MD.0000000000010995
Shi L, Zhao Y, Li W. Endoscopic Resection of a Giant Colonic Lipoma With Endoloop-assisted Unroofing Technique: a Case Report. Medicine (Baltimore). 2018;97(23):e10995. PubMed PMID: 29879057.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic resection of a giant colonic lipoma with endoloop-assisted unroofing technique: A case report. AU - Shi,Lei, AU - Zhao,Yuanshun, AU - Li,Wen, PY - 2018/6/8/entrez PY - 2018/6/8/pubmed PY - 2018/6/21/medline SP - e10995 EP - e10995 JF - Medicine JO - Medicine (Baltimore) VL - 97 IS - 23 N2 - RATIONALE: Colonic lipomas are uncommon benign submucosal adipose tumorsthat are usually asymptomatic. Large lipomas can cause symptoms require treatment in principle. We report 1 case of giant colonic lipoma removed with endoloop-assisted unroofing technique instead of conventional surgical bowel resection. PATIENT CONCERNS: A 62-year-old female patient presented with intermittent abdominal discomfort for 1 month. DIAGNOSIS: The patient was diagnosed as having a giant colonic lipoma. INTERVENTION: Endoscopic resection with endoloop-assisted unroofing technique was performed. On the 22nd day after resection, intestinal obstruction occurred by shedding mass was found; the symptoms of this patient disappeared soon after removal of the mass by endoscopy. OUTCOMES: A follow-up colonoscopy 6 months later showed a scarred mucosa at the ligation site and no residual lipoma was observed. LESSONS: Endoscopic resection with endoloop-assisted unroofing technique remains a viable option for giant lipomas; however, postoperative intestinal obstruction caused by shedding mass should be noted. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/29879057/Endoscopic_resection_of_a_giant_colonic_lipoma_with_endoloop_assisted_unroofing_technique:_A_case_report_ L2 - http://dx.doi.org/10.1097/MD.0000000000010995 DB - PRIME DP - Unbound Medicine ER -