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A Case of Ileal Lipoma Misdiagnosed as Colonic Lipoma

The Ewha Medical Journal 2012;35(1):69-71. Published online: March 31, 2012

Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea.

1Department of Pathology, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author: Ryung-Ah Lee, Department of Surgery, Ewha Womans University School of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel: 82-2-2650-2659, Fax: 82-2-2644-7984, ralee@ewha.ac.kr
• Received: February 9, 2012   • Accepted: February 28, 2012

Copyright © 2012. Ewha Womans University School of Medicine

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  • 1. Bardaji M, Roset F, Camps R, Sant F, Fernandez-Layos MJ. Symptomatic colonic lipoma: differential diagnosis of large bowel tumors. Int J Colorectal Dis 1998;13:1-2.
  • 2. Algin C, Hacioglu A, Aydin T, Ihtiyar E. Esophagectomy in esophageal lipoma: report of a case. Turk J Gastroenterol 2006;17:110-112.
  • 3. Deeths TM, Madden PN, Dodds WJ. Multiple lipomas of the stomach and duodenum. Am J Dig Dis 1975;20:771-774.
  • 4. Kim BC, Jung SW, Kwon SH, Park JS, Ko BK, Kim YM, et al. A case of jejuno-jejunal intussusception caused by a small intestinal lipoma. Korean J Med 2008;75:333-336.
  • 5. Pemberton LB, Manax WG. Complete obstruction of the colon by lipoma. Surgery 1971;69:139-141.
  • 6. Ryu KW, Kim DS, Hong BW, Lee JB, Moon HY, Choi SY. Diagnosis and treatment of adult intussusception due to gastrointestinal lipoma. J Korean Surg Soc 2000;59:61-66.
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Fig. 1
Colonoscopic findings. (A) Hyperemic ileocecal valve was observed. (B) No visible mass is found in the hepatic flexure of ascending colon.
emj-35-69-g001.jpg
Fig. 2
Abdominal computed tomography findings. (A) Well-defined, 3 cm sized low attenuated submucosal mass is identified on the hepatic flexure of ascending colon. (B) A round target-shaped mass is revealed in the right lower quadrant consisting of different densities.
emj-35-69-g002.jpg
Fig. 3
Macroscopic findings. (A) An ovoid shaped pedunculated submucosal mass is observed. (B) The cut surface shows lobulated yellowish adipose tissue with mixed thin fibrous tissue.
emj-35-69-g003.jpg
Fig. 4
Microscopic finding. The mass is located in the submucosa and composed of mature lipocytes (H&E stain, ×40).
emj-35-69-g004.jpg

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      A Case of Ileal Lipoma Misdiagnosed as Colonic Lipoma
      Image Image Image Image
      Fig. 1 Colonoscopic findings. (A) Hyperemic ileocecal valve was observed. (B) No visible mass is found in the hepatic flexure of ascending colon.
      Fig. 2 Abdominal computed tomography findings. (A) Well-defined, 3 cm sized low attenuated submucosal mass is identified on the hepatic flexure of ascending colon. (B) A round target-shaped mass is revealed in the right lower quadrant consisting of different densities.
      Fig. 3 Macroscopic findings. (A) An ovoid shaped pedunculated submucosal mass is observed. (B) The cut surface shows lobulated yellowish adipose tissue with mixed thin fibrous tissue.
      Fig. 4 Microscopic finding. The mass is located in the submucosa and composed of mature lipocytes (H&E stain, ×40).
      A Case of Ileal Lipoma Misdiagnosed as Colonic Lipoma
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