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Arch Surg. 2006;141:834.

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Answer: Intussusception Caused by Lipoma of the Colon

Although lipomas of the colon are considered the second most common benign nonepithelial tumors of the colon and rectum,^1-8 they are rare. From July 17, 1997, until October 2004, we encountered 7 cases of lipomas of the colon. The patients ranged in age from 51 to 64 years (median age, 60 years) and included 3 men and 4 women. Their clinical presentation included rectal bleeding (n = 2), pain in the right iliac fossa (n = 3), pain in the left iliac fossa (n = 1), diffuse upper abdominal pain (n = 1), and symptoms and signs of intestinal obstruction (n = 1). Their diagnosis involved flexible sigmoidoscopy, colonoscopy, barium enema, computed tomography, and magnetic resonance imaging. Their management involved right hemicolectomy (n = 1), left hemicolectomy (n = 2), local excision (n = 2), and observation (n = 1).

In general, colonic lipomas are more common in women than men^{5, 8} and occur most often in the fifth and sixth decades of life.⁵ The incidence is estimated from . . . [Full Text of this Article]

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Arch Surg. 2006;141(8):833.
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