ISSN: 2641-1652
*Corresponding author:
Dr Akinfemi A Akingboye, Department General Surgery Peterborough City Hospital, Bretton Gate, Peterborough, EnglandReceived: August 06, 2018; Published: August 16, 2018
DOI: 10.32474/CTGH.2018.01.000113
To view the Full Article Peer-reviewed Article PDF
Aim: Colonic lipomas (CL) are generally asymptomatic and are found incidentally during colonoscopy, colonography or surgery for other conditions. Symptoms often correlate with the size of the lipoma; lipomas larger than 4 cm in size become symptomatic in 75% of patients and they are described as giant Giant colonic lipoma (GCL). GCL may cause bleeding, obstruction, mimic large polyps, and can create a diagnostic dilemma. We review the clinical management of a series of four GCL patients.
Method: Following a series of unusual presentations and management of patients with GCL; we decided to review CT colonography performed for patients not unsuitable and or unable to complete colonoscopy over a 4-year period. Furthermore, we described the clinical presentations and management outcomes from the 4-case series.
Results: A total of 3775 CT colonograph were performed between Jan 2011 – Dec 2015, with 174 (4.6%) cases of reported CL, of which 0.002% were identified as GCL. 116 CL patients were females (66%), with a mean age of 77 years. With more than 80% located in the right colon. From the case series analysed; four patients had GCL. Two patients presented as acute large bowel obstruction secondary to colonic intussusception on CT scan. Both required emergency hemi-colectomies. The other two presented with changes in bowel habit. One required an elective laparoscopic colotomy and the other was resected endoscopically.
Conclusion: CL can be confidently diagnosed on CT colonography and do not require any specialised imaging or endoscopic assessment for histologically purposes. Endoscopic removal of GCL is feasible and can be performed safely when the right skill set, and experience is available. However, surgical resection remains the main stay treatment for obstructive GCL.
Keywords: Colonic Lipoma; Giant Colonic Lipoma; CT Colonography; Endoscopy; Laparoscopy
Abbreviations: CL: Colonic Lipomas; GCL: Giant Colonic Lipoma; CT: Computed Tomography; CRC: Colorectal Cancer
Abstract| Introduction| Method and Materials| Case Series| Results| Discussion| Conclusion| References|
Bio chemistry
University of Texas Medical Branch, USADepartment of Criminal Justice
Liberty University, USADepartment of Psychiatry
University of Kentucky, USADepartment of Medicine
Gally International Biomedical Research & Consulting LLC, USADepartment of Urbanisation and Agricultural
Montreal university, USAOral & Maxillofacial Pathology
New York University, USAGastroenterology and Hepatology
University of Alabama, UKDepartment of Medicine
Universities of Bradford, UKOncology
Circulogene Theranostics, EnglandRadiation Chemistry
National University of Mexico, USAAnalytical Chemistry
Wentworth Institute of Technology, USAMinimally Invasive Surgery
Mercer University school of Medicine, USAPediatric Dentistry
University of Athens , GreeceThe annual scholar awards from Lupine Publishers honor a selected number Read More...