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[Submucosal lipomas of the colon]
Revista De Medicina De La Universidad De Navarra
|September 1, 1982
Summary
Symptomatic colonic lipomas, though rare, can cause abdominal pain and rectal bleeding. This study highlights significant weight loss as a previously unrecognized symptom, aiding in diagnosis and successful surgical treatment.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Colonic lipomas are benign submucosal tumors.
- Symptomatic presentation is uncommon.
Observation:
- Three cases of symptomatic colonic lipoma are presented.
- All lipomas were submucosal.
- Clinical symptoms included abdominal pain, altered bowel habits, and rectal bleeding (rectorragia).
- A significant, previously undescribed finding was substantial weight loss in all affected patients.
- Two patients also presented with colonic diverticulosis.
Findings:
- Diagnosis was achieved through radiological imaging, specifically barium enema.
- Surgical intervention was performed in all three cases.
- All surgical outcomes were excellent, with complete resolution of symptoms.
Implications:
- Highlights the importance of considering colonic lipoma in the differential diagnosis of unexplained abdominal pain and weight loss.
- Suggests that significant weight loss may be an important clinical indicator for symptomatic submucosal colonic lipomas.
- Emphasizes the efficacy of surgical resection for symptomatic colonic lipomas.