DOI: 10.36347/sasjs.2020.v06i10.002

Pages: 324-325

Lipomas of the colon are relatively rare (0.2% to 4.4%) benign mesenchymal tumours, being 2nd to benign adenomatous polyps. Usually seen in the right colon, lipomas can also be seen arising from the submucosa in the sigmoid colon. Usually asymptomatic but when they become large, can produce symptoms of abdominal pain, intussusception, diarrhoea, bleeding per rectum and even obstruction. Here we present a case of colonic obstruction in 49year old female due to a large growth in the sigmoid colon. Initially presenting with features of obstruction, she was evaluated. Colonoscopy revealed an obstructing growth at the sigmoid. Imaging made the diagnosis of possible lipoma of the colon which was further confirmed intra operatively and later biopsy proven. Colonic growths if small in size can be retrieved by endoscopic procedures. But if they attain huge sizes, needs formal laparotomy with segmental resection (to rule out malignancy).