Colonic lipomas: our experience in diagnosis and treatment

Autor: Apostolos Makrantonakis, S. Psomas, Dimitrios Raptis, Dimitrios Kanellos, Ioannis Mantzoros, Manousos-Georgios Pramateftakis, T. Tsachalis, Stamatios Angelopoulos
Rok vydání: 2011
Předmět:
Zdroj: Techniques in Coloproctology. 15:71-73
ISSN: 1128-045X
1123-6337
DOI: 10.1007/s10151-011-0736-y
Popis: The aim of this study is to present our experience in colonic lipomas. 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. 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. In cases of ulcerated lipomas, greater than 3 cm of diameter, surgical resection is recommended.
Databáze: OpenAIRE