Laparoscopic-assisted resection of giant sigmoid lipoma under colonoscopic guidance

Surgical Endoscopy
R LadurnerK Hallfeld

Abstract

Colonic lipomata are rare and mostly asymptomatic lesions; but as they become larger they may produce abdominal pain, constipation, diarrhea, hemorrhage, and intussusception. We report the case of a 75-year-old man who suffered from nonspecific recurrent abdominal pain in the left upper and lower quadrants and had variable episodes of diarrhea and constipation of 4 weeks' duration. During colonoscopy, a giant intraluminal polyp was diagnosed at 35 cm. Abdominal helical computed tomography (CT) revealed a constipating colonic tumor with a diameter of >or=50 mm and density values equal to fat. During laparoscopic surgery in the lithotomy position, the sigmoid and the descending colon were mobilized using a Harmonic scalpel. The origin of the polyp was localized precisely under colonoscopic guidance. The former 12-mm incision in the left lower quadrant was expanded to approximately 70 mm for extracorporal tumor resection. The left and sigmoid colon resections were carried out, and the polyp was removed by full-wall excision. After closure with a single-layer suture, the colon was pushed back into the peritoneal cavity. The patient had an uneventful recovery and was discharged 10 days postoperatively. Histology confirmed a benign l...Continue Reading

Citations

Dec 22, 2012·Case Reports in Surgery·Stefanos AtmatzidisKonstantinos Atmatzidis
Nov 1, 2013·BMC Surgery·Ouadii MouaqitKhalid Ait Taleb
Jun 3, 2010·World Journal of Gastroenterology : WJG·Song-Hua FangBai-Shu Zhong
Oct 16, 2009·Cases Journal·Ali AminianKaramollah Toolabi
Oct 25, 2008·International Journal of Surgery·Shafik M SidaniMustafa S Sidani
Aug 29, 2006·World Journal of Gastroenterology : WJG·Oge TascilarSelim Aydemir
Jan 1, 2015·Khirurgiia·N V Mal'ginaT Yu Dolgina
Mar 18, 2015·World Journal of Gastroenterology : WJG·Jae Min LeeChe Wan Lim

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