Colonic lipoma

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Recurrent abdominal pain, constipation.

Patient Data

Age: 85 years
Gender: Female
ct

Sigmoid part of colon is redundant, with multiple transmural lesions, hypodense fatty in consistency, with enhancing fine internal septa, thickened enhanced wall, encroaching upon colonic lumen with no proximal obstruction.

Multiple small outpouchings in colon, in sigmoid, air-filled, likely diverticulosis.

Preserved pericolic fat.

Mild hepatomegaly with periportal hypodensity edema, prominent extrahepatic biliary tree.

Case Discussion

Colonic transmural fatty lesions suggestive colonic lipoma.

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