Medicine · 2018
Endoscopic resection of a giant colonic lipoma with endoloop-assisted unroofing technique: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Shi Lei, Zhao Yuanshun, Li Wen
Аннотация
RATIONALE: Colonic lipomas are uncommon benign submucosal adipose tumorsthat are usually asymptomatic. Large lipomas can cause symptoms require treatment in principle. We report 1 case of giant colonic lipoma removed with endoloop-assisted unroofing technique instead of conventional surgical bowel resection.
PATIENT CONCERNS: A 62-year-old female patient presented with intermittent abdominal discomfort for 1 month.
DIAGNOSIS: The patient was diagnosed as having a giant colonic lipoma.
INTERVENTION: Endoscopic resection with endoloop-assisted unroofing technique was performed. On the 22nd day after resection, intestinal obstruction occurred by shedding mass was found; the symptoms of this patient disappeared soon after removal of the mass by endoscopy.
OUTCOMES: A follow-up colonoscopy 6 months later showed a scarred mucosa at the ligation site and no residual lipoma was observed.
LESSONS: Endoscopic resection with endoloop-assisted unroofing technique remains a viable option for giant lipomas; however, postoperative intestinal obstruction caused by shedding mass should be noted.
PATIENT CONCERNS: A 62-year-old female patient presented with intermittent abdominal discomfort for 1 month.
DIAGNOSIS: The patient was diagnosed as having a giant colonic lipoma.
INTERVENTION: Endoscopic resection with endoloop-assisted unroofing technique was performed. On the 22nd day after resection, intestinal obstruction occurred by shedding mass was found; the symptoms of this patient disappeared soon after removal of the mass by endoscopy.
OUTCOMES: A follow-up colonoscopy 6 months later showed a scarred mucosa at the ligation site and no residual lipoma was observed.
LESSONS: Endoscopic resection with endoloop-assisted unroofing technique remains a viable option for giant lipomas; however, postoperative intestinal obstruction caused by shedding mass should be noted.