Recurrent sigmoid volvulus secondary to a large pedunculated colonic lipoma
Symptomatic colon lipoma is a rare occurrence in clinical practice, and its association with sigmoid volvulus is even rarer. We present a case of a man in his 70s who presented to our emergency department with suspected intestinal obstruction. Upon examination, sigmoid volvulus was diagnosed and suc...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-09-01
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| Series: | Therapeutic Advances in Gastrointestinal Endoscopy |
| Online Access: | https://doi.org/10.1177/26317745231203480 |
| _version_ | 1827804790480961536 |
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| author | Ahmed Alwali Imad Kamaleddine Andreas Erbersdobler Clemens Schafmayer Guido Alsfasser |
| author_facet | Ahmed Alwali Imad Kamaleddine Andreas Erbersdobler Clemens Schafmayer Guido Alsfasser |
| author_sort | Ahmed Alwali |
| collection | DOAJ |
| description | Symptomatic colon lipoma is a rare occurrence in clinical practice, and its association with sigmoid volvulus is even rarer. We present a case of a man in his 70s who presented to our emergency department with suspected intestinal obstruction. Upon examination, sigmoid volvulus was diagnosed and successfully treated endoscopically through decompression and detorsion. However, the patient experienced a recurrence, leading to the decision to perform sigmoid resection as a Hartmann’s procedure. Subsequently, a prolapsed tumor was observed through the stoma, which was endoscopically resected, revealing a pedunculated submucous colonic lipoma. This case report highlights the potential association between sigmoid volvulus and the presence of a large colon lipoma. Thus, giant colonic lipoma should be considered as a differential diagnosis among the causes of colonic volvulus. |
| first_indexed | 2024-03-11T21:16:32Z |
| format | Article |
| id | doaj.art-05997b16378a472181ae8dd8c2702ee9 |
| institution | Directory Open Access Journal |
| issn | 2631-7745 |
| language | English |
| last_indexed | 2024-03-11T21:16:32Z |
| publishDate | 2023-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Gastrointestinal Endoscopy |
| spelling | doaj.art-05997b16378a472181ae8dd8c2702ee92023-09-28T19:03:29ZengSAGE PublishingTherapeutic Advances in Gastrointestinal Endoscopy2631-77452023-09-011610.1177/26317745231203480Recurrent sigmoid volvulus secondary to a large pedunculated colonic lipomaAhmed AlwaliImad KamaleddineAndreas ErbersdoblerClemens SchafmayerGuido AlsfasserSymptomatic colon lipoma is a rare occurrence in clinical practice, and its association with sigmoid volvulus is even rarer. We present a case of a man in his 70s who presented to our emergency department with suspected intestinal obstruction. Upon examination, sigmoid volvulus was diagnosed and successfully treated endoscopically through decompression and detorsion. However, the patient experienced a recurrence, leading to the decision to perform sigmoid resection as a Hartmann’s procedure. Subsequently, a prolapsed tumor was observed through the stoma, which was endoscopically resected, revealing a pedunculated submucous colonic lipoma. This case report highlights the potential association between sigmoid volvulus and the presence of a large colon lipoma. Thus, giant colonic lipoma should be considered as a differential diagnosis among the causes of colonic volvulus.https://doi.org/10.1177/26317745231203480 |
| spellingShingle | Ahmed Alwali Imad Kamaleddine Andreas Erbersdobler Clemens Schafmayer Guido Alsfasser Recurrent sigmoid volvulus secondary to a large pedunculated colonic lipoma Therapeutic Advances in Gastrointestinal Endoscopy |
| title | Recurrent sigmoid volvulus secondary to a large pedunculated colonic lipoma |
| title_full | Recurrent sigmoid volvulus secondary to a large pedunculated colonic lipoma |
| title_fullStr | Recurrent sigmoid volvulus secondary to a large pedunculated colonic lipoma |
| title_full_unstemmed | Recurrent sigmoid volvulus secondary to a large pedunculated colonic lipoma |
| title_short | Recurrent sigmoid volvulus secondary to a large pedunculated colonic lipoma |
| title_sort | recurrent sigmoid volvulus secondary to a large pedunculated colonic lipoma |
| url | https://doi.org/10.1177/26317745231203480 |
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