Sigmoid lipoma mimicking carcinoma: case report with review of diagnosis and management

El-Khalil, Tammam; Mourad, Fadi H.; Uthman, S

doi:10.1016/s0016-5107(00)70458-5

Cited by 23 publications

(21 citation statements)

References 7 publications

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“…Laparoscopic surgery on selected colo-rectal lipomas in the recent times may be an alternative to laparotomy. Surgical treatment may be difficult in gastroduodenal and colo-anal intussusceptions since it may require innovative methods 19,33,36 .…”

Section: Dıscussıonmentioning

confidence: 99%

Spontaneous ileo-ileal and ileo-caecal intussusception in adults: Report of two cases.

Uysal¹,

Dokur²,

Gürer³

et al. 2014

Sakarya Med J

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Having defined as a proximal intestinal segment interpenetrating an adjacent distal intestinal segment lumen in the gastrointestinal system intussusception or invagination, is the most common cause for acute abdomen in children following acute appendicitis.Contrary to childhood period intussusception is rarely encountered among adults. Etiology, clinical presentation and treatment methods are different in adults as well. In etiology of an adult intussusception mostly there are malignant, non-malignant and iatrogenik reasons. İn rare cases the etiology is idiopathic or spontaneous. Spontaneous intussusceptions are mostly seen in small bowel. Diagnose of an adult intussusception can be overlooked or delayed when it is rarely encountered and atypically presented. Treatment is surgical in most cases. In this article, two adult cases of spontaneous ileo-ileal and ileo-caecal intussusception was analysed and presented under current literature considering clinical outlook, diagnose and treatment. Abstract ÖzetOlgu Sunumu / Case Report

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Section: Dıscussıonmentioning

confidence: 99%

Spontaneous ileo-ileal and ileo-caecal intussusception in adults: Report of two cases.

Uysal¹,

Dokur²,

Gürer³

et al. 2014

Sakarya Med J

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“…However, the diagnostic value of CT is limited, particularly in small lipomas [4] . Surrounding soft tissue or stool may create an artificial increase in CT density values, which can also limit its accuracy [3] . Magnetic resonance imaging may be particularly useful in the detection of these lesions, as the signal intensity is characteristic of adipose tissue on T1-weighted and fat-suppressing images [1] .…”

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confidence: 99%

“…Colonoscopy is generally reliable for the diagnosis of colonic lipoma. A number of endoscopic features suggestive of colonic lipomas have been described, including the "cushion/pillow sign" (indentation on gentle pressure with the tip of a biopsy forceps), the "tenting sign" (elevation of the overlying mucosa when grasped by the forceps), and the "naked fat sign" (extrusion of fat at a biopsy site) [3] . The mucosa overlying colonic lipomas is usually normal, but, in rare cases, colonoscopy may reveal ulceration, a finding that may lead to a wrong diagnosis of adenocarcinoma [1,2] .…”

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confidence: 99%

“…The mucosa overlying colonic lipomas is usually normal, but, in rare cases, colonoscopy may reveal ulceration, a finding that may lead to a wrong diagnosis of adenocarcinoma [1,2] . Asymptomatic lipomas of the large bowel probably do not need treatment, because malignant transformation has not been reported [3] . Therapy should be reserved for symptomatic lesions or for cases where exclusion of adenocarcinoma cannot be assured [3] .…”

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confidence: 99%

“…Asymptomatic lipomas of the large bowel probably do not need treatment, because malignant transformation has not been reported [3] . Therapy should be reserved for symptomatic lesions or for cases where exclusion of adenocarcinoma cannot be assured [3] . Colonoscopy documented a large broad-based ulcerated mass, with necrotic and fatty tissue exposed in the ulcerated area, in the ascending colon.…”

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confidence: 99%

See 2 more Smart Citations

An Unusual Diagnosis in a Patient with Suspected Colorectal Cancer

Carmo

Marques

Bispo

et al. 2017

GE Port J Gastroenterol

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Giant sigmoid lipoma covered by a villous adenoma

Capra

Zorcolo

Scintu

et al. 2005

Int J Colorectal Dis

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Lipomas arise in the colon with an incidence of up to 4.4%. Usually asymptomatic, they can reach big dimensions causing bleeding, obstruction, intussusception and prolapse. \ud The occurrence of adenomas overlying a colonic lipoma is rare.\ud The authors report a case of a giant sigmoid lipoma with a wide villous adenoma in the lining mucosa. They also suggest a pathogenetic hypothesis of this event. \u

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Sigmoid lipoma mimicking carcinoma: case report with review of diagnosis and management

Cited by 23 publications

References 7 publications

Spontaneous ileo-ileal and ileo-caecal intussusception in adults: Report of two cases.

Spontaneous ileo-ileal and ileo-caecal intussusception in adults: Report of two cases.

An Unusual Diagnosis in a Patient with Suspected Colorectal Cancer

Giant sigmoid lipoma covered by a villous adenoma

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