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Case Reports
. 2014 Sep 23:2014:bcr2014206526.
doi: 10.1136/bcr-2014-206526.

Caecum lipoma: a rare cause of lower gastrointestinal bleeding

Gustavo Martinez-Mier  1 , Arturo B Ortiz-Bayliss  2 , Ruben Alvarado-Arenas  2 , Miguel A Carrasco-Arroniz  2
Affiliations
Case Reports

Caecum lipoma: a rare cause of lower gastrointestinal bleeding

Gustavo Martinez-Mier et al. BMJ Case Rep. .

Abstract

Gastrointestinal bleeding caused by benign tumours of the colon is rare. A 70-year-old woman with a significant medical history of diabetes, hypertension and ischaemic heart disease was presented in consultation with marked anaemia secondary to lower gastrointestinal bleeding with a right colonic tumour found by CT. The patient underwent a right colectomy without complications. Histopathological examination revealed a 4 cm transmural caecum lipoma with mucosal ulceration. The patient is asymptomatic without anaemia at 6 months follow-up.

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Figures

Figure 1
Figure 1
Colonoscopy image from the transverse colon without morphology changes or pathological lesions.
Figure 2
Figure 2
CT scan showing a right/caecum colonic tumour.
Figure 3
Figure 3
Right hemicolectomy specimen. Arrow is pointing towards the caecum neoplasm (lipoma).
Figure 4
Figure 4
Intramural caecum lipoma (A), acute and chronic inflammatory process with granulation and mucosal erosion above the tumour (B).
See this image and copyright information in PMC

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