Rare Cause of Intestinal Obstruction - Submucous Lipoma of the Sigmoid Colon
L.S. Andrei, A.C. Andrei, D.L. Usurelu, L.I. Puscasu, C. Dima, E. Preda, I. Lupescu, V. Herlea, I. PopescuImage Quiz for surgeons, no. 1, 2014
The lipoma of the colon is a benign and rare tumor. Mostlipomas are asymptomatic, their discovery being fortuitous. Thediagnosis is ussualy easy by colonoscopy associated withbiopsies. The abdominal CT scan also has its role in the diagnosticprocess and in the assesment of the tumoral extension.The treatment depends essentially on the clinical picture, onthe size and location of the lipoma and involves endoscopic orsurgical excision. We present the case of a 56 years old womanin which a random colonoscopic and than tomographicdiagnosis of a sigmoidian lipoma was made 2 years ago whenthe patient presented with different symptoms, the submucosallipoma being small sized at the time; the surgical treatment(sigmoidectomy including the tumor) was currently indicatedby the sub-occlusive syndrome and haematochezia, due to theintraluminal proliferation of the tumor.
