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    Case 3

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    Maya Sari Lingga
    A 78-year-old woman was referred to the hospital for examination of a tumor found in her colon during a CT scan follow up for breast cancer surgery. She reported recurrent right lower abdominal pain for a year. Examinations revealed a 30mm fatty tumor in her ascending colon that was smooth and well-circumscribed. A colonoscopy confirmed it was a pedunculated submucosal tumor originating from her terminal ileum. The lesion was diagnosed as a lipoma and removed by ESD due to her recurrent pain.

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    Case 3

    Uploaded by

    Maya Sari Lingga
    9 views1 page
    A 78-year-old woman was referred to the hospital for examination of a tumor found in her colon during a CT scan follow up for breast cancer surgery. She reported recurrent right lower abdominal pain for a year. Examinations revealed a 30mm fatty tumor in her ascending colon that was smooth and well-circumscribed. A colonoscopy confirmed it was a pedunculated submucosal tumor originating from her terminal ileum. The lesion was diagnosed as a lipoma and removed by ESD due to her recurrent pain.

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    CASE 3

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    A 78-year-old woman was referred to the hospital for examination of a tumor found in her colon during a CT scan follow up for breast cancer surgery. She reported recurrent right lower abdominal pain for a year. Examinations revealed a 30mm fatty tumor in her ascending colon that was smooth and well-circumscribed. A colonoscopy confirmed it was a pedunculated submucosal tumor originating from her terminal ileum. The lesion was diagnosed as a lipoma and removed by ESD due to her recurrent pain.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9 views1 page

    Case 3

    Uploaded by

    Maya Sari Lingga
    A 78-year-old woman was referred to the hospital for examination of a tumor found in her colon during a CT scan follow up for breast cancer surgery. She reported recurrent right lower abdominal pain for a year. Examinations revealed a 30mm fatty tumor in her ascending colon that was smooth and well-circumscribed. A colonoscopy confirmed it was a pedunculated submucosal tumor originating from her terminal ileum. The lesion was diagnosed as a lipoma and removed by ESD due to her recurrent pain.

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    Case Report

    A 78-year-old woman underwent computed tomography (CT) because of a follow-up


    observation 1 year after right breast cancer surgery, and CT revealed a tumor in the
    colon. The patient was referred to our hospital for detailed examinations in November
    2015. She had had recurrent right lower abdominal pain for about 1 year. She had no
    previous medical history other than the right breast cancer, and her family history was
    unremarkable. Physical examination revealed tenderness of the right lower abdomen,
    and the initial laboratory data were within normal limits. An abdominal CT showed a low-
    density tumor measuring approximately 30 mm in its largest dimension in the ascending
    colon (fig 1a). The tumor was well circumscribed and had a smooth demarcation. The CT
    density inside the tumor was the same as that of fatty tissues, and the CT density of the
    tumor circumference was same as that of the mucosal layer of the small intestine
    (fig 1a). An air contrast barium enema revealed an elevated lesion of approximately 40
    mm in diameter with a smooth surface (fig 1b). A colonoscopy showed an SMT in the
    proximal ascending colon developing from the terminal ileum (fig 2a, b). The tumor was
    pedunculated, and the cushion sign associated with tumor was present (fig 2c). A
    colonoscopic ultrasonography revealed that the SMT was a high-echoic mass mainly
    localized in the submucosal layer (fig 2d). Based on the above findings, the SMT was
    diagnosed as a pedunculated lipoma originating from the terminal ileum and treated with
    ESD because of recurrent abdominal pain.

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