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A Case of Terminal Ileum Lipoma Treated by Endoscopic Polypectomy
Author(s) -
KAGAMI Akihiko,
ARINO Toru,
USUI Toshirou,
SEKI Shingo,
TSUCHIYA Masahito,
OKUMURA Mitsuru,
TANAKA Fumio,
IWAI Takaaki,
HIROTA Yoshiyuki,
KOMORI Akihiko,
SAKATO Hideyoshi,
TAKAHASHI Kaoru,
MOCHIZUKI Seibu,
NAGANO Makoto,
SUZUKI Hiroaki
Publication year - 1992
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1992.tb00246.x
Subject(s) - medicine , lipoma , colonoscopy , barium enema , ileum , intussusception (medical disorder) , ileocecal valve , abdominal pain , polypectomy , surgery , endoscopy , radiology , gastroenterology , colorectal cancer , cancer
This study reports on the case of a 71‐year‐old man who complained of repeated episodes of right lower abdominal pain. A barium enema and colonoscopy revealed a 20 times 20 times 15 mm smooth‐surfaced polypoid tumor (Yamada type III) located in the terminal ileum . An endoscopy showed that the lesion had a slightly yellowish surface and the cushion sign was observed, so the tumor was considered to be an intestinal lipoma. During colonoscopy, prolapse of the tumor occurred through the orifice of Bauhin's valve and the patient simultaneously complained of right lower abdominal pain. The tumor was removed endoscopically . After a colonoscopic polypectomy, the patient's right lower abdominal pain disappeared. A pathological examination of the specimen revealed a lipoma of the terminal ileum . In general, the correct preoperative diagnosis of intestinal lipoma is difficult. Furthermore, 80% of lipomas situated at the terminal ileum are complicated by acute intussusception . We suggest that a colonoscopic polypectomy is a useful procedure for confirming the diagnosis of intestinal lipoma and for the prophylaxis of intussusception when the tumor is located in the terminal ileum .