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Endoscopic resection of a giant colonic lipoma with endoloop-assisted unroofing technique: A case report
RATIONALE: Colonic lipomas are uncommon benign submucosal adipose tumorsthat are usually asymptomatic. Large lipomas can cause symptoms require treatment in principle. We report 1 case of giant colonic lipoma removed with endoloop-assisted unroofing technique instead of conventional surgical bowel r...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999471/ https://www.ncbi.nlm.nih.gov/pubmed/29879057 http://dx.doi.org/10.1097/MD.0000000000010995 |
Sumario: | RATIONALE: Colonic lipomas are uncommon benign submucosal adipose tumorsthat are usually asymptomatic. Large lipomas can cause symptoms require treatment in principle. We report 1 case of giant colonic lipoma removed with endoloop-assisted unroofing technique instead of conventional surgical bowel resection. PATIENT CONCERNS: A 62-year-old female patient presented with intermittent abdominal discomfort for 1 month. DIAGNOSIS: The patient was diagnosed as having a giant colonic lipoma. INTERVENTION: Endoscopic resection with endoloop-assisted unroofing technique was performed. On the 22nd day after resection, intestinal obstruction occurred by shedding mass was found; the symptoms of this patient disappeared soon after removal of the mass by endoscopy. OUTCOMES: A follow-up colonoscopy 6 months later showed a scarred mucosa at the ligation site and no residual lipoma was observed. LESSONS: Endoscopic resection with endoloop-assisted unroofing technique remains a viable option for giant lipomas; however, postoperative intestinal obstruction caused by shedding mass should be noted. |
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