Abstract

Submucosa of the colon is a rare site for the formation of lipomas, which are usually asymptomatic. A 57 year-old male presented with 25 days-long history of abdominal pain. CT scan showed colo-colonic intussusception. The intussuscepted segment was resected. On histopathology, diagnosis of submucosal lipoma of colon was given. Colonic lipomas often pose a diagnostic challenge. A definitive diagnosis of colonic lipoma is often obtained from histopathological examination of the resected specimen.

Highlights

  • Intestinal lipomas are benign, slow growing mesenchymal neoplasms arising from connective tissue in the bowel wall

  • 90% of colonic lipomas are located in the submucosa; the remainder of these tumors are subserosal or intramucosal in origin

  • We report a case of symptomatic submucous lipoma of ascending colon

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Summary

Introduction

Intestinal lipomas are benign, slow growing mesenchymal neoplasms arising from connective tissue in the bowel wall. 90% of colonic lipomas are located in the submucosa; the remainder of these tumors are subserosal or intramucosal in origin. They vary in size from several millimeters to 30 cm.[3] Lipomas measuring >4cm are considered Giant.[3][4]. They are solitary but few cases of multiple lesions have been reported.[5].

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