Large benign submucosal lipoma presented with descending colonic intussusception in an adult

The American Journal of Case Reports
Ziad Allos, Dina Zhubandykova


Female, 34 FINAL DIAGNOSIS: Lipoma of the large intestine Symptoms: Abdominal pain • bloating • blood in stool • constipation • lose of appetite • nausea - Clinical Procedure: - Specialty: Surgery. Rare disease. Lipoma of the large intestine is rare, account for only 5% of all gastrointestinal tumors. Lipomas are usually asymptomatic but rarely may cause bleeding, obstruction and intussusception. We present a case of a giant colonic lipoma causing descending-colonic intussusception. 34 yo F presented with the intermittent left lower quadrant abdominal pain for 3 weeks. The pain initially was associated with bloating and constipation and for the last several days frank blood in stool, nausea and decreased appetite. CT scan of the abdomen revealed descending colonic obstruction by a 5.3 cm colonic lipomatous mass with resultant intussusception. PATIENT initially underwent colonoscopy that revealed polypoid lesion at 3-40 similar to lipoma with intussusception that was reduced. PATIENT subsequently underwent laparoscopic segmental left colectomy for the descending colonic intussusception due to large colonic lipomatous mass. Pathology confirmed the histology of lipoma. Adult bowel intussusception is a rare but challenging conditio...Continue Reading


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