Submucosal Lipoma of the Ascending Colon as a Source of Massive Lower Gastro-intestinal Bleeding: a Case Report

Vasiliadis, Konstantinos; Katsamakas, Michael; Nikolaidou, Anastasia; Christoforidis, E.; Tsalis, Konstantinos; Tsalikidis, Andreas

doi:10.1080/00015458.2008.11680239

Cited by 15 publications

(23 citation statements)

References 16 publications

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“…In 90% of cases, these are localized in submucosa but occasionally they extend into the muscularis propria, while up to 10% are subserosal. 5 Sometimes only one segment of intestine may be involved, known as segmental lipomatosis. Age of presentation is highly variable, ranging from neonatal period to seventh decade of life.…”

Section: Discussionmentioning

confidence: 99%

Diffuse Intestinal Submucosal Lipomatosis with Incidental Epidermal Inclusion Cyst of Caecum Clinically Masquerading as Carcinoma Caecum

Thakur¹,

Kishore²,

Bhardwaj³

et al. 2014

Rare Tumors

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Symptomatic diffuse submucosal intestinal lipomatosis is a rare entity. Also few cases of epidermal inclusion cyst of caecum have been reported in literature. Here, we are presenting a rare case of intestinal submucosal lipomatosis with coincidence of epidermal inclusion cyst of caecum and presumptively diagnosed as carcinoma of ileocaecal region during surgery in a 55 years old male. Both are rare entity considering the location even they should be kept as a differential diagnosis in unusual cases of intestinal perforations with inconclusive radiological findings or clinical uncertainity.

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Section: Discussionmentioning

confidence: 99%

Diffuse Intestinal Submucosal Lipomatosis with Incidental Epidermal Inclusion Cyst of Caecum Clinically Masquerading as Carcinoma Caecum

Thakur¹,

Kishore²,

Bhardwaj³

et al. 2014

Rare Tumors

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“…When intestinal lipomatosis reaches a larger size then the symptoms usually start 6. The most common manifestations are non-specific abdominal pain, constipation, diarrhoea and bleeding 4 6 7.…”

Section: Discussionmentioning

confidence: 99%

Lipomatosis of the terminal ileum and ileocaecal valve: multidetector CT findings

et al. 2013

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Intestinal lipomatosis, also known as lipohyperplasia, is a rare disease. Diffuse infiltration of fatty tissue mainly in the submucosal layer is characteristic. It is usually asymptomatic and found incidentally. We report a case of lipomatosis in the terminal ileum and ileocaecal valve. Multidetector CT with contrast enhancement showed fatty infiltration of the terminal ileum and ileocaecal valve.

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“…They become symptomatic in less than 30% of cases [4-6] and this usually occurs when they increase more than 2 or 3 cm in diameter [7,11]. It is reported that a 75% of patients with intestinal lipomas larger than 4 cm had symptoms [20].…”

Section: Presentationmentioning

confidence: 99%

“…This pain is usually repeated before the patient asks for medical assistance [1,3,4,6,7]. Constipation, altered bowel habits and hemorrhage are symptoms also often reported [4-6].…”

Section: Presentationmentioning

confidence: 99%

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Spontaneous expulsion from rectum: a rare presentation of intestinal lipomas

et al. 2011

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Lipomas are rare, subserosal, usually solitary, pedunculated small lesions appearing mainly in the large intestine with a minimal malignancy potential. They usually run asymptomatic and become symptomatic when they become enlarged or complicated causing intestinal obstruction, perforation, intusucception or massive bleeding. In rare cases they can be self-detached and expulsed via the rectum as fleshy masses. This event mainly occurs in large, pendunculated lipomas which detach from their pedicle. The reason for this event remains in most of cases unclear although in some cases a predisposing factor does exist. Abdominal pain and obstructive ileus may be observed while in many cases bleeding occurs. The expulsed mass sets the diagnosis and in most of the cases all symptoms subside. Diagnosis is rarely established before surgery with the use of barium enema, computed tomography and colonoscopy which additionally provides measures of treatment and diagnosis. In atypical cases though, in cases where the malignancy can not be excluded or in complicated cases, surgery is recommended. Usually the resection of the affected intestinal part is adequate. If during surgery a lipoma is encountered simple lipomatectomy seems also to be adequate.

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Submucosal Lipoma of the Ascending Colon as a Source of Massive Lower Gastro-intestinal Bleeding: a Case Report

Cited by 15 publications

References 16 publications

Diffuse Intestinal Submucosal Lipomatosis with Incidental Epidermal Inclusion Cyst of Caecum Clinically Masquerading as Carcinoma Caecum

Diffuse Intestinal Submucosal Lipomatosis with Incidental Epidermal Inclusion Cyst of Caecum Clinically Masquerading as Carcinoma Caecum

Lipomatosis of the terminal ileum and ileocaecal valve: multidetector CT findings

Spontaneous expulsion from rectum: a rare presentation of intestinal lipomas

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