Sizzling Fat-Curative Endoscopic Resection of a Giant Lipoma Causing Colo-Colic Intussusception

Chiara Eberspacher; Stefano Arcieri; Augusto Lauro; Rossella Palma; Enrico Coletta; Francesco Leone Arcieri; Domenico Mascagni; Stefano Pontone

doi:10.1007/s10620-023-08087-w

Sizzling Fat-Curative Endoscopic Resection of a Giant Lipoma Causing Colo-Colic Intussusception

Dig Dis Sci. 2023 Nov;68(11):4123-4126. doi: 10.1007/s10620-023-08087-w. Epub 2023 Sep 21.

Authors

Chiara Eberspacher¹, Stefano Arcieri¹, Augusto Lauro², Rossella Palma¹, Enrico Coletta¹, Francesco Leone Arcieri¹, Domenico Mascagni¹, Stefano Pontone¹

Affiliations

¹ Department of Surgery, "Sapienza" University of Rome, V.Le Regina Elena 324, 00161, Rome, Italy.
² Department of Surgery, "Sapienza" University of Rome, V.Le Regina Elena 324, 00161, Rome, Italy. augusto.lauro@uniroma1.it.

PMID: 37733131
DOI: 10.1007/s10620-023-08087-w

Abstract

Giant colonic lipomas, tumors that infrequently occur in the gastrointestinal tract, can manifest as bleeding, abdominal pain and, in few cases, obstruction with intussusception. Surgery is usually the treatment of choice. We report the case of a 78 years-old woman with abdominal pain, constipation, and bleeding due to a giant lipoma of the sigmoid colon causing intussusception. After an initial diagnostic colonoscopy, the patient underwent an endoscopic mucosal resection (EMR) without complications. Even if surgery is traditionally the primary therapeutic approach for giant colonic lipomas, selected cases can be successfully treated with EMR.

Keywords: Colonoscopy; Colorectal lipoma; Intussusception; Occlusion; Polypectomy.