An Ulcerated Large Colic Lipoma Causing Rectorrhagia Treated With Endoscopic Loop-Assisted Resection

Area of Science:

• Gastroenterology
• Endoscopic Surgery

Background:

• Colonic lipomatous polyps are common incidental findings during colonoscopy.
• Large lipomas (>4 cm) can lead to gastrointestinal bleeding.
• Associated adenomatous formations or ulcerated mucosa can occur.

Observation:

• A case of a large, ulcerated colonic lipoma causing rectorrhagia was observed.
• The lipoma presented a clinical challenge due to its size and ulceration.

Findings:

• Successful endoscopic en-bloc resection of the large lipoma was achieved.
• Endoloop placement facilitated the safe removal of the lipoma.

Implications:

• This case demonstrates the feasibility of endoscopic en-bloc resection for large, symptomatic colonic lipomas.
• The technique may offer a standardized approach for managing these challenging lesions.
• Further research is warranted to establish optimal endoscopic management strategies.