Constricting colonic lipoma causing acute intestinal obstruction

Colon lipomas are rare benign, nonepithelial tumors that are often asymptomatic. However, when symptoms do occur, they vary depending on the size and location of the lipoma and are generally nonspecific. Diagnosis is confirmed through histopathological analysis. Lipomas smaller than 2.5 cm can typically be observed without intervention, but larger or symptomatic lipomas require resection, which can be performed endoscopically or surgically. This case presents a rare phenomenon of synchronous left colonic lipoma leading to intestinal obstruction. Despite their benign nature, colonic lipomas can sometimes mimic malignant lesions, making histopathological analysis crucial for confirming the diagnosis.

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Publication Details

Journal
Journal of Surgical Case Reports
Published
2024-12-21
DOI
https://doi.org/10.1093/jscr/rjae798
Primary Topic
Gastrointestinal disorders and treatments
Type
article
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article

Constricting colonic lipoma causing acute intestinal obstruction

Jay Lodhia, Alex Mremi, Ahmed Hussein
Journal of Surgical Case Reports
Gastrointestinal disorders and treatments
article

Constricting colonic lipoma causing acute intestinal obstruction

Jay Lodhia, Alex Mremi, Ahmed Hussein
article en

Abstract

Colon lipomas are rare benign, nonepithelial tumors that are often asymptomatic. However, when symptoms do occur, they vary depending on the size and location of the lipoma and are generally nonspecific. Diagnosis is confirmed through histopathological analysis. Lipomas smaller than 2.5 cm can typically be observed without intervention, but larger or symptomatic lipomas require resection, which can be performed endoscopically or surgically. This case presents a rare phenomenon of synchronous left colonic lipoma leading to intestinal obstruction. Despite their benign nature, colonic lipomas can sometimes mimic malignant lesions, making histopathological analysis crucial for confirming the diagnosis.

Journal of Surgical Case ReportsVol. 2025(1)
Kilimanjaro Christian Medical Centre (TZ)
Good health and well-being
Openalex Percentile: Top 56%
Gastrointestinal disorders and treatments
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Constricting colonic lipoma causing acute intestinal obstruction — Jay Lodhia, Alex Mremi, et al. · Journal of Surgical Case Reports (2024) | TGRS Research Map | TGRS