Mnif Leila, Amouri Ali, Masmoudi Mohamed A, Mezghanni Amin, Gouiaa Naourez, Boudawara Tahia, Tahri Nabil
Department of Gastroenterology, University Hospital Hedi Chaker, Sfax, Tunisia.
Tunis Med. 2009 Jun;87(6):398-402.
Colonic lipomas are benign adipose tumors which are usually submucosal. Small lesions are asymptomatic and may be detected incidentally. Large lipomas can cause symptoms.
We report a case of symptomatic giant colonic lipoma
A 67-year old woman was admitted to hospital with persistent abdominal pain, for which a barium enema showed a large polypoid mass occluding the lumen of the transverse colon. Colonoscopy revealed a tumor narrowing the bowel lumen of about 5 cm in diameter with a sessile appearance and ulcerated overlying mucosa. The possibility of colonic malignancy could not be precluded and an operative resection was performed. Pathological examination revealed a colonic lipoma. Twelve months after the surgery, the patient was free of symptoms.
Awareness of the possibility of colonic lipomas is important for clinicians in terms of evaluation of therapeutic regimen.
结肠脂肪瘤是通常位于黏膜下的良性脂肪肿瘤。小的病变无症状，可能偶然被发现。大的脂肪瘤可引起症状。
我们报告一例有症状的巨大结肠脂肪瘤病例。
一名67岁女性因持续性腹痛入院，钡剂灌肠显示一个大的息肉样肿物阻塞横结肠管腔。结肠镜检查发现一个使肠腔狭窄的肿瘤，直径约5厘米，呈无蒂外观，覆盖黏膜有溃疡形成。不能排除结肠恶性肿瘤的可能性，遂进行了手术切除。病理检查显示为结肠脂肪瘤。手术后十二个月，患者无症状。
对于临床医生而言，认识到结肠脂肪瘤的可能性对于评估治疗方案很重要。
