Lipomas of the Colon: A Surgical Challenge


Lipomas of the colon are rare benign tumors second only to adenomas in their incidence. They are devoid of malignant potential. They usually become manifest by way of complications ranging from bleeding to acute intestinal obstruction. Radiological investigations may help to confirm the diagnosis in a significant number of non-emergent situations. However, confirmation of diagnosis is invariably done at the time of therapeutic intervention. A proper choice of therapeutic option between endoscopic or open surgical intervention needs to be made for a good outcome.

Share and Cite:

Vagholkar, K. and Bendre, M. (2014) Lipomas of the Colon: A Surgical Challenge. International Journal of Clinical Medicine, 5, 309-313. doi: 10.4236/ijcm.2014.56046.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Vecchio, R., Ferrara, M., Mosca, F., Ignoto, A. and Latteri, F. (1966) Lipomas of the Large Bowel. European Journal of Surgery, 162, 915-919.
[2] Montes Teves, P., Salazar Ventura, S. and Ramos Barrientos, M. (2007) Giant Colonic Lipoma as a Cause of Lower Digestive Hemorrhage. Report of a Case. Revista de Gastroenterología del Perú, 27, 307-309.
[3] Rogy, M.A., Mirza, D., Berlakovich, G., Winkelbauer, F. and Rauhs, R. (1991) Submucous Large Bowel Lipomas-Presentation and Management. An 18 Year Study. European Journal of Surgery, 157, 51-55.
[4] Chiang, J.M. and Lin, Y.S. (2008) Tumor Spectrum of Adult Intussusception. Journal of Surgical Oncology, 98, 444-447.
[5] James, J. and Strauss, P.N. (2012) Complicated Colonic Intussusception. Journal of Emergencies, Trauma and Shock, 5, 188-189.
[6] Howard, N., Pranesh, N. and Carter, P. (2012) Colo-Colonic Intussusception Secondary to a Lipoma. International Journal of Surgery Case Reports, 3, 52-54.
[7] Martin, P., Sklow, B. and Adler, D.G. (2008) Large Colonic Lipoma Mimicking Colon Cancer and Causing Colonic Intussusception. Digestive Diseases and Sciences, 53, 2826-2827.
[8] Yeom, J.O., Kim, S.Y., Jang, E.C., Yu, J.V., Chang, E.D. and Cho, Y.S. (2013) Colonic Lipomas Covered by Hyperplastic Epithelium: Case Report. World Journal of Clinical Cases, 1, 124-127.
[9] Gupta, A.K. and Mujoo, V. (2003) Spontaneous Auto Amputation and Expulsion of Intestinal Lipoma. Journal of the Association of Physicians of India, 51, 833.
[10] Chahri, N., Querol, V., Ballesta, E., Marti, M. and Garrigo, J. (2013) Spontaneous Expulsion of a Large Left Colon Lipoma. Revista Espanola de Enfermedades Digestives, 105, 501-502.
[11] Jeong, H.K., Cho, S.B., Seo, T.J., Lee, K.R., Lee, W.S., Kim, H.S. and Joo, Y.E. (2011) Auto Amputation of a Giant Colonic Lipoma. Gut Liver, 5, 380-382.
[12] Djolai, M.A., Andrejic, B.M. and Ivanov, D.D. (2013) Lipoma of the Sigmoid Colon. Vojnosanit Pregl, 70, 319-321.
[13] Bardaji, M., Roset, F., Camps, R., Sant, F. and Fernandez-Layos, M.J. (1998) Symptomatic Colonic Lipoma: Differential Diagnosis of Large Bowel Tumors. International Journal of Colorectal Disease, 13, 1-2.
[14] Bahadursingh, A.M., Robbins, P.L. and Longo, W.E. (2003) Giant Submucosal Sigmoid Colon Lipoma. American Journal of Surgery, 186, 81-82.
[15] Shepherd, B.D., Merchant, N., Fasig, J. and Schwartz, D.A. (2006) Endoscopic Ultrasound Diagnosis of Pelvic Lipoma Causing Neurologic Symptoms. Digestive Diseases and Sciences, 51, 1364-1366.
[16] Moussa, D.M., Tee, M., Khan, A.U. and Selvasekar, C.R. (2013) Computerized Tomography Providing Definitive Diagnosis of Colonic Lipoma: A Case Series. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 23, e232-e234.
[17] Mantzoros, I., Raptis, D., Pramateftakis, M.G., Kanellos, D., Psomas, S., Makrantonakis, A., Tsachalis, T. and Angelopoulos, S. (2011) Colonic Lipomas: Our Experience in Diagnosis and Treatment. Techniques in Coloproctology, 15, S71-S73.
[18] Koktener, A. and Erden, A. (2007) Usefulness of Virtual Colonoscopy in the Diagnosis of Symptomatic Large Colonic Lipomas. Australian Radiology, 51, 144-146.
[19] Castro, E.B. and Stearns, M.W. (1972) Lipoma of the Large Intestine: A Review of 45 Cases. Diseases of the Colon & Rectum, 15, 441-444.
[20] Kim, C.Y., Bandres, D., Tio, T.L., Benjamin, S.B. and AI Kawas, F.H. (2002) Endoscopic Removal of Large Colonic Lipomas. Gastrointestinal Endoscopy, 55, 929-931.
[21] Pfeil, S.A., Weaver, M.G., Abdul Karim, F.W. and Yang, P. (1990) Colonic Lipomas: Outcome of Endoscopic Removal. Gastrointestinal Endoscopy, 36, 435-438.
[22] Son, D.N., Jung, H.G. and Ha, D.Y. (2013) Laparoscopic Surgery for an Intussusception by a Lipoma in the Ascending Colon. Annals of Coloproctology, 29, 80-82.
[23] Nebbia, J.F., Cucchi, J.M., Novellas, S., Bertrand, S., Chevallier, P. and Bruneton, J.N. (2007) Lipomas of the Right Colon: Report of Six Cases. Clinical Imaging, 31, 390-393.
[24] Vagholkar, K.R. (2001) Healing of Anastomosis in the Gastrointestinal Tract: Retrospective Study of 35 Cases. Bombay Hospital Journal, 43, 269-280.
[25] Nallamothu, G. and Adler, D.G. (2011) Large Colonic Lipomas. Journal of Gastroenterology and Hepatology, 7, 490-492.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.