McGrew W, Dunn G D
South Med J. 1985 Jul;78(7):877-9. doi: 10.1097/00007611-198507000-00028.
Colonic lipomas are uncommon tumors but do constitute the most common nonepithelial tumor of the gastrointestinal tract. They tend to occur in an older population and rarely cause symptoms. However, if a lipoma discovered by barium enema or colonoscopy is causing symptoms of obstruction or bleeding, the tumors may require surgical removal. Rarely, as in our patient, the bleeding lipoma may be sufficiently pedunculated to allow safe colonoscopic removal. In general, lipomas of the colon are curiosities that must be distinguished from adenomatous polyps.
结肠脂肪瘤是罕见的肿瘤，但却是胃肠道最常见的非上皮性肿瘤。它们往往发生于老年人群，很少引起症状。然而，如果通过钡灌肠或结肠镜检查发现的脂肪瘤引起梗阻或出血症状，则可能需要手术切除。极少情况下，如我们的患者，带蒂的出血性脂肪瘤可通过结肠镜安全切除。一般来说，结肠脂肪瘤是需要与腺瘤性息肉相鉴别的罕见病例。
