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Updated: Apr 7, 2026
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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
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Giant colon lipoma
İsmail Yaman1, Hayrullah Derici1, Gülen Demirpolat2
1Department of General Surgery, Balıkesir University Faculty of Medicine, Balıkesir, Turkey.
Ulusal Cerrahi Dergisi
|July 15, 2015
Summary
Large colon lipomas are rare but can cause symptoms. Surgical removal is often necessary for diagnosis and to rule out cancer in symptomatic cases.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Colon lipomas are rare, benign, non-epithelial tumors.
- Typically, they are small (<2 cm), asymptomatic, and found incidentally.
Observation:
- A 50-year-old female presented with abdominal pain, swelling, and weight loss.
- Colonoscopy revealed an 8x6 cm ulcerated, necrotic submucosal mass obstructing the hepatic flexure.
- MRI showed an 8.5 cm mass with signal intensity consistent with adipose tissue.
Findings:
- Preoperative diagnosis of lipoma was challenging due to size and ulceration.
- Laparoscopic right hemicolectomy was performed due to symptoms and diagnostic uncertainty.
- Histopathology confirmed a large submucosal lipoma.
Implications:
- Large, symptomatic colon lipomas require surgical intervention.
- Surgery is crucial for symptom management, complication prevention, and excluding malignancy.
- Definitive diagnosis often relies on histopathological examination of resected specimens.
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