[Digestive lipomas: clinical and therapeutic aspects].

The authors present 6 cases of lipomas of the digestive pathways, five in females and one in a male. The patients were aged between 31 and 75 years and an average age of 51 years. The benign lipomatous tumor was unique in all the cases. It was located in the antrum in 3 of the patients and in the ileum, the right segment of the colon and on the sigmoid in each of the three other patients respectively. In all the cases the radiological examination confirmed the clinical diagnosis of digestive tumour. The radiological aspects were typical for benignity in four of the cases and suggested malignancies in the other two. Gastric lipomas were characterized from the clinical viewpoint by dyspeptic disturbances that were not systematized, as well as by bleeding while the ileal and the colic tumours were accompanied by repeated invagination. The sigmoid tumour was accompanied by colic and disturbances of the transit. The surgical solution consisted in 3 of the cases in a simple exeresis of the lipoma (two gastric lipomas and the sigmoid tumour). In one of the gastric lipomas a limited resection was performed, and for the colic and ileal tumours, complicated by invagination a right hemicolectomy was carried out.