AI Article Synopsis
- - Colonic lipomas are generally benign growths, often asymptomatic, but can cause issues when they exceed 2 cm, particularly in cases of Giant Colonic Lipoma (GCL), which can lead to complications like iron deficiency anemia (IDA).
- - The report discusses a specific case where a GCL caused IDA and was effectively removed using an innovative endoscopic technique that combines noradrenaline, endoloop ligation, and snare cautery, avoiding the need for surgical intervention.
- - This case underscores the clinical importance of recognizing GCL as a potential cause of anemia and demonstrates that modified endoscopic removal techniques enhance patient safety during treatment.
Article Abstract
Colonic lipomas are benign adipose tumors and are mostly asymptomatic. They may cause symptoms when their size becomes more than 2 cm. Giant colonic lipoma (GCL) is a rare finding in endoscopy which presents with or without macroscopic ulceration and may lead to iron deficiency anaemia (IDA). The choice of treatment of symptomatic large colonic lipomas has been controversial. Here we are presenting a case of GCL presenting with occult bleeding causing iron deficiency anaemia (IDA). It was removed endoscopically using a combination of noradrenaline, endoloop ligation, and snare cautery technique (modified hybrid technique). Successful removal of the GCL lead to the resolution of IDA. This case report highlights that even GCL can be removed endoscopically, thus surgery can be prevented. Clinical Significance: GCL is an unusual cause of anemia. Modified hybrid endoscopic removal technique improves safety.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10746737 | PMC |
| http://dx.doi.org/10.1016/j.mjafi.2021.06.024 | DOI Listing |
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