Ileocecal valve lipoma. Case report and review of the literature

Antonio Spaventa-Ibarrola; César Decanini-Terán; Guillermo Becerril-Martínez; Ana Luisa Menéndez-Skertchly; Claudio Golffier-Rosete

2006, Number 4

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Cir Cir 2006; 74 (4)

Ileocecal valve lipoma. Case report and review of the literature

Spaventa-Ibarrola A, Decanini-Terán C, Becerril-Martínez G, Menéndez-Skertchly AL, Golffier-Rosete C

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Language: Spanish
References: 22
Page: 279-282
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ABSTRACT

Background: Lipomas are the most frequent benign tumors of the digestive tract and 50% are localized in the colon. Most are found submucosally and may vary in their incidence, localization, symptoms and pathogenesis, making diagnosis difficult. We undertook this study to know the different presentations of ileocecal valve (ICV) lipoma and we performed a review of the literature due to this uncommon location.
Clinical case: We present the case of a 78-year-old female with intermittent small bowel occlusion, abdominal distention and constipation. Colonoscopy showed a submucous tumor at the ICV, CT scan showed a tumor at the ICV with fat density. Laparotomy was performed with primary resection of the lesion by cecotomy, frozen section was reported as nonmalignant so a primary closure without ICV involvement was achieved. Definitive pathology revealed a benign lipoma.
Conclusion: It is important to know the different presentations of these benign tumors because if there is mucosal ulceration they can be mistaken for a malignant lesion and lead to greater resections. Resection is necessary if they are symptomatic or ›2 cm.

REFERENCES

1. Wychulis AR, Jackman RJ, Mayo CW. Submucous lipomas of colon and rectum. Surg Gynecol Obstet 1964;118:337-340.
2. Weinberg T, Feldman M. Lipomas of the gastrointestinal tract. Am J Clin Pathol 1955;25:272-281.
3. Haller JD, Roberts TW. Lipomas of the colon: a clinicopathologic study of 20 cases. Surgery 1964;55:773-781.
4. Zeebregts CJ, Geraedts AA, Blaauwgeers JL, Hoitsma HF. Intussus-
ception of the sigmoid colon because of an intramuscular lipoma. Report of a case. Dis Colon Rectum 1995;38:891-892.
5. DeBeer RA, Shinya H. Colonic lipomas, an endoscopic analysis. Gastrointest Endosc 1975;22:90-91.
6. Rogy MA. Submucous large bowel lipomas: presentation and management. An 18-year study. Eur J Surg 1991;157:51-55.
7. Tatsuguchi A, Fukuda Y, Moriyama T, Yamanaka N. Lipomatosis of the small intestine and colon associated with intussuseption on the ileocecal region. Gastrointest Endosc 1999;49:118-121.
8. El-Kahlil T, Mourad FH, Uthman S. Sigmoid lipoma mimicking carcinoma: case report with review of diagnosis and management. Gastrointest Endosc 2000;51:495-496.
9. Siddiqui MN, Garnham JR. Submucosal lipoma of the colon with intussusception. Postgrad Med J 1992;68:499-552.
10. Meghoo CA, Cook PR, McDonough CA, Bowser LK, Waddell BE. Large colonic lipoma with mucosal ulceration mimicking carcinoma. Gastrointest Endosc 2003;58:468-470.
11. Bulleri A, Falleni A, Orsitto E, Pieri L. Intussusception of the right colon due to a colonic lipoma. Report of a case. Radiol Med (Torino) 1998;96:401-402.
12. Kaplan P. Submucous lipoma of the colon. Int Surg 1971;56:113-117.
13. Kakitsubata Y, Kakitsubata S, Nagatomo H, Mitsuo H, Yamada H, Watanabe K. CT manifestations of lipomas of the small intestine and colon. Clin Imaging 1993;17:179-182.
14. Kameyama H, Niwa Y, Arisawa T, Goto H, Hayakawa T. Endoscopic ultrasonography in the diagnosis of submucosal lesions of the large intestine. Gastrointest Endosc 1997;46:406-411.
15. LoIudice TA, Lang JA. Submucous lipoma simulating carcinoma of the colon. South Med J 1980;73:521-523.
16. Snover DC. Atypical lipomas of the colon. Report of two cases with pseudomalignant features. Dis Colon Rectum 1984;27:485-488.
17. McGrew W, Dunn GD. Colonic lipomas: clinical significance and management. South Med J 1985;78:877-879.
18. Taylor BA, Wolff BG. Colonic lipomas. Report of two unusual cases and review of the Mayo clinic experience: 1976-1985. Dis Colon Rectum 1987;30:888-893.
19. Pfeil SA, Weaver Mg, Abdul-Karim FW, Yang P. Colonic lipomas: outcome of endoscopic removal. Gastrointest Endosc 1990;36:435-438.
20. Townsend C. En: Sabiton, editor. Tratado de patología quirúrgica. Tomo II. 16a. edición. McGraw-Hill; 2001. p. 1030.
21. Schieri RP, Debrin JA. Small bowel tumors. In: Cameron JL, ed. Surgical Therapy. Baltimore: Elsevier Mosby;2004. pp. 120-122.