Colonic lipoma

Case contributed by Dr Mostafa Mahmoud El-Feky


Disturbed bowel habit.

Patient Data

Age: 43-year-old
Gender: Female

CT Enterocolonography

Space occupying lesion involving the hepatic colonic flexure and the right side of the transverse colon. It is measuring about 5.1 x 6 x 5.1 cm in AP, SS & CC dimensions respectively. The lesion is encroaching upon and distending the colonic lumen still with no definite MDCT signs of proximal obstruction. Preserved pericolic fat. The mass showed an internal matrix of mainly fatty density with enhancing fine internal septae. Enhancing wall is also noted averaging 8 mm.

The liver showed tiny focal hypodense areas within segment VI and VIII, the largest is averaging 9 mm (small parenchymal cysts).

Scans through pelvis showed small uterine fibroids; the largest is fundo-posterior in location averaging 28 mm.

The tiny appendicolith is noted with otherwise preserved MDCT features of the appendix.

Case Discussion

Gastrointestinal tract lipoma can occur anywhere along the GIT and are more commonly located in the colon, usually right sided with pure fatty content. 

In this case, features are representative of colonic fat rich solitary lesion as described, likely colonic lipoma.

PlayAdd to Share

Case information

rID: 45046
Published: 28th May 2016
Last edited: 28th May 2016
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.