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Noh, Koo, and Lee: A Case of Ileal Lipoma Misdiagnosed as Colonic Lipoma
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The Ewha Medical Journal

The Ewha Medical Journal 2012; 35(1): 69-71.

Published online: 31 March 2012

DOI: https://doi.org/10.12771/emj.2012.35.1.69

A Case of Ileal Lipoma Misdiagnosed as Colonic Lipoma

Gyoung Tae Noh, Hea Soo Koo1, Ryung-Ah Lee

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 9 February 2012       Accepted 28 February 2012

Copyright © 2012. Ewha Womans University School of Medicine

Figures and Tables

Fig. 1
Colonoscopic findings. (A) Hyperemic ileocecal valve was observed. (B) No visible mass is found in the hepatic flexure of ascending colon.
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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.
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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.
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Fig. 4
Microscopic finding. The mass is located in the submucosa and composed of mature lipocytes (H&E stain, ×40).
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References

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.
7. Heiken JP, Forde KA, Gold RP. Computed tomography as a definitive method for diagnosing gastrointestinal lipomas. Radiology. 1982. 142:409–414.
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