Colonoscopic Polypectomy for Lipoma of the Ascending Colon

Abstract

Recently we experienced a case of lipoma of the colon. The patient was a 68-year-old woman with a chief complaint of abdominal pain. Barium enema examination revealed a smoothly contoured polypoid lesion in the ascending colon. Colonofiberscopic findings showed a pedunculated polyp which was elastic-soft and slightly yellow. Lipoma was suspected and colonoscopic polypectomy was performed without any complications. The resected specimen was 1.7×1.5×1.5cm in size. The pathological diagnosis was submucosal lipoma. Endoscopic polypectomy for colonic lipoma has been reported in 23 cases in the Japanese literature. If a colonic submucosal tumor, such as a lipoma, is pedunculated or semipedunculated and snaring is feasible, endoscopic polypectomy would be an advisable from of treatment.