A case of gigantic lipoma of the terminal ileum treated by endoscopic resection

Abstract

A 60-year-old male visited our medical center for presenting positive reaction in stool occult blood test. Barium enema showed a gigantic tumor, which stalk was on terminal ileum and which head was into ascending colon. Colonoscopy revealed that it was a cushion-sign-positive submucosal tumor that was smooth in surface and good in mobility. On the same day, snare excision was performed combining with snare holding method. The specimen was 75×38×30mm in size. Histology proved the tumor to be lipoma. Among our experience of 5 small intestinal lipoma cases treated by endoscopic resection, the size of this case was largest.