Mantzoros I, Raptis D, Pramateftakis MG, Kanellos D, Psomas S, Makrantonakis A, Tsachalis T, Angelopoulos S. Colonic lipomas: our experience in diagnosis and treatment.
Tech Coloproctol 2012;
15 Suppl 1:S71-3. [PMID:
21887571 DOI:
10.1007/s10151-011-0736-y]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
AIM
The aim of this study is to present our experience in colonic lipomas.
PATIENTS AND METHODS
We present 4 patients (1 male, 3 females) of mean age 65.5 years (range, 61-72 years) treated for single colonic lipomas. The diameters of the lesions were 4.5, 4, 3.5 and 2.5 cm, respectively. In 3 cases, colonic lipomas were located within the cecum, while in one patient within the descending colon, proximally to the splenic flexure.
RESULTS
Lipomas of diameter greater than 3 cm caused nonspecific symptoms. Lipomas of higher diameter were removed laparoscopically with colotomy; in two cases, the patients underwent open hemicolectomy, because of the suspicion of malignancy, while the smallest lesion was resected endoscopically, using a bipolar snare. All patients recovered without complications and remain healthy with no signs of recurrence.
CONCLUSION
In cases of ulcerated lipomas, greater than 3 cm of diameter, surgical resection is recommended.
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