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Autoamputation of a Giant Colonic Lipoma

Most colonic lipomas are asymptomatic and need no treatment, whereas lesions larger than 2 cm can cause acute abdominal pain, changes in bowel habits, gastrointestinal bleeding, intussusception or bowel obstruction. Autoamputation of polypoid lesions in the gastrointestinal tract is indeed a rare ph...

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Autores principales: Jeong, Hye Kyong, Cho, Sung Bum, Seo, Tae Jin, Lee, Kyoung Rok, Lee, Wan Sik, Kim, Hyun Soo, Joo, Young Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Gastroenterology; the Korean Society of Gastrointestinal Endoscopy; the Korean Association for the Study of the Liver; the Korean Society of Neurogastroenterology and Motility; Korean Association for the Study of Intestinal Diseases; Korean College of Helicobacter and Upper Gastrointestinal Research; Korean Society of Pancreatobiliary Diseases 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166682/
https://www.ncbi.nlm.nih.gov/pubmed/21927670
http://dx.doi.org/10.5009/gnl.2011.5.3.380
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author Jeong, Hye Kyong
Cho, Sung Bum
Seo, Tae Jin
Lee, Kyoung Rok
Lee, Wan Sik
Kim, Hyun Soo
Joo, Young Eun
author_facet Jeong, Hye Kyong
Cho, Sung Bum
Seo, Tae Jin
Lee, Kyoung Rok
Lee, Wan Sik
Kim, Hyun Soo
Joo, Young Eun
author_sort Jeong, Hye Kyong
collection PubMed
description Most colonic lipomas are asymptomatic and need no treatment, whereas lesions larger than 2 cm can cause acute abdominal pain, changes in bowel habits, gastrointestinal bleeding, intussusception or bowel obstruction. Autoamputation of polypoid lesions in the gastrointestinal tract is indeed a rare phenomenon, and its precise mechanism remains unknown. It presumably occurs due to ischemic necrosis of the polyp by peristalsis-induced torsion or tension. Here, we report a case of autoamputation of a giant colonic lipoma in a 48-year-old man. In our case, colonoscopic examination showed a huge autoamputated mass in the rectum and a remnant long stalk in the transverse colon. The autoamputated mass in the rectum was completely removed after fragmentation using an electrosurgical snare, and the remnant long stalk located in the transverse colon was also resected safely by endoscopic snare polypectomy. To our knowledge, these endoscopic treatments for removal of an autoamputated mass and a remnant long stalk of colonic lipoma have not been reported previously.
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spelling pubmed-31666822011-09-16 Autoamputation of a Giant Colonic Lipoma Jeong, Hye Kyong Cho, Sung Bum Seo, Tae Jin Lee, Kyoung Rok Lee, Wan Sik Kim, Hyun Soo Joo, Young Eun Gut Liver Case Report Most colonic lipomas are asymptomatic and need no treatment, whereas lesions larger than 2 cm can cause acute abdominal pain, changes in bowel habits, gastrointestinal bleeding, intussusception or bowel obstruction. Autoamputation of polypoid lesions in the gastrointestinal tract is indeed a rare phenomenon, and its precise mechanism remains unknown. It presumably occurs due to ischemic necrosis of the polyp by peristalsis-induced torsion or tension. Here, we report a case of autoamputation of a giant colonic lipoma in a 48-year-old man. In our case, colonoscopic examination showed a huge autoamputated mass in the rectum and a remnant long stalk in the transverse colon. The autoamputated mass in the rectum was completely removed after fragmentation using an electrosurgical snare, and the remnant long stalk located in the transverse colon was also resected safely by endoscopic snare polypectomy. To our knowledge, these endoscopic treatments for removal of an autoamputated mass and a remnant long stalk of colonic lipoma have not been reported previously. The Korean Society of Gastroenterology; the Korean Society of Gastrointestinal Endoscopy; the Korean Association for the Study of the Liver; the Korean Society of Neurogastroenterology and Motility; Korean Association for the Study of Intestinal Diseases; Korean College of Helicobacter and Upper Gastrointestinal Research; Korean Society of Pancreatobiliary Diseases 2011-09 2011-08-18 /pmc/articles/PMC3166682/ /pubmed/21927670 http://dx.doi.org/10.5009/gnl.2011.5.3.380 Text en Copyright © 2011 The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Association for the Study of Intestinal Diseases, Korean Association for the Study of the Liver and Korean Society of Pancreatobiliary Diseases http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jeong, Hye Kyong
Cho, Sung Bum
Seo, Tae Jin
Lee, Kyoung Rok
Lee, Wan Sik
Kim, Hyun Soo
Joo, Young Eun
Autoamputation of a Giant Colonic Lipoma
title Autoamputation of a Giant Colonic Lipoma
title_full Autoamputation of a Giant Colonic Lipoma
title_fullStr Autoamputation of a Giant Colonic Lipoma
title_full_unstemmed Autoamputation of a Giant Colonic Lipoma
title_short Autoamputation of a Giant Colonic Lipoma
title_sort autoamputation of a giant colonic lipoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166682/
https://www.ncbi.nlm.nih.gov/pubmed/21927670
http://dx.doi.org/10.5009/gnl.2011.5.3.380
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