GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
A CASE OF COLONIC LIPOMA ASSOCIATED WITH INTUSSUSCEPTION
Yoshiyuki SUGIMOTOTetsuo TAKAYAMAHiroshi SANONaoyuki KATADAYutaka OGAWAYasuo KOYAMAKatsumoto KATOMasayuki TAKEICHITomomi SENO
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1983 Volume 25 Issue 12 Pages 1975-1978_1

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Abstract

A forty-two year old woman admitted to our hospital with complaints of abdominal pain and diarrhea. Ba enema examination of the colon showed obstruction due to intus-susception with a sausage-like mass lesion in the area of the splenic flexure of the descending colon. Colonoscopic examination showed a round mass lesion in the same portion of the colon. The surface of the mass lesion was edematous with erosion and a little hemorrhage. But it was normal colonic mucosa. As the colonoscopy was inserted into the colon toward the mass lesion, we felt as if the colonoscopy was pulled out. Indeed, this phenomenon resulted from reduction of the intussusception. Surgical findings revealed that the tumor existed in the area of the hepatic flexure of the transverse colon and that the intussusception was completely reduced. Resected tumor measuring 4.0×4.0×3.5cm was soft and not pedunculated and its surface was yellowish and like fatty tissue. Histological findings showed the well-differentiated submucosal lipoma of the colon.

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© Japan Gastroenterological Endoscopy Society
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