Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

Panagiotakis,Georgios  I.; Andreou,Alexandros   G.; Petrakis,Ioannis  E.; Tzardi,Maria; Daskalogiannaki,Maria; Chalkiadakis,Georgios   E.

doi:10.3892/ol.2017.5594

March-2017 Volume 13 Issue 3

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March-2017 Volume 13 Issue 3

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Case Report

Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

Authors:
- Georgios I. Panagiotakis
- Alexandros G. Andreou
- Ioannis E. Petrakis
- Maria Tzardi
- Maria Daskalogiannaki
- Georgios E. Chalkiadakis
View Affiliations / Copyright

Affiliations: Department of General Surgery, University Hospital of Heraklion, Faculty of Medicine, Heraklion 71110, Crete, Greece, Department of Histopathology, University Hospital of Heraklion, Faculty of Medicine, Heraklion 71110, Crete, Greece, Department of Computed Tomography, University Hospital of Heraklion, Faculty of Medicine, Heraklion 71110, Crete, Greece
Pages: 1303-1306
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Published online on: January 11, 2017

https://doi.org/10.3892/ol.2017.5594
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Abstract

Lipomas of the sigmoid colon are rare entities. The present case describes a 27‑year‑old Caucasian woman who underwent a laparoscopic sigmoidectomy following the detection of a giant lipoma. The young patient was referred to the Emergency Department of the University Hospital of Heraklion (Crete, Greece) in May 2013 after experiencing intermittent abdominal cramping during defecation, and altering episodes of diarrhea and constipation. In addition, the patient described the protrusion of a solid tissue mass shaped like a ‘champagne bottle cork’ from the anus following defecation. These symptoms had been present for 1 month prior to referral. Physical examination was unremarkable. An urgent colonoscopy revealed a polypoid lesion measuring 2.5 cm in diameter in the sigmoid colon, which was located ~12 cm above the anal ring, with a smooth surface and tissue fragility. Tissue samples were obtained and sent for histopathological analysis. Preoperative contrast‑enhanced computed tomography was performed urgently and confirmed the presence of a solid mass in the sigmoid colon without enlargement of regional lymph nodes. Following adequate preparation, the patient underwent a laparoscopic sigmoidectomy with intracorporeal termino‑terminal colorectal anastomosis, with the use of a circular stapler. The patient had a positive post‑operative outcome without complications and was discharged on day 4 post‑surgery in an optimal condition. Histopathological examination of the surgical specimen demonstrated a pedunculated lipoma shaped like a ‘champagne bottle cork’. The tumor consisted of mature adipose cells. The overlying colonic mucosa showed hyperplastic crypts with regenerative changes. In the lamina propria mild inflammatory infiltration was observed. At 2 years post‑surgery, the patient remains asymptomatic without any clinical evidence of recurrence.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

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