Angiolipoma is a benign fatty neoplasm that has components of proliferating blood vessels. These types of lesions commonly occur in the subcutaneous tissue of the limbs and trunk. Angiolipoma in the gastrointestinal tract is extremely rare, and the final diagnosis generally depends on histological examination of the excised biopsy. In most previously reported cases, the lesions were diagnosed and treated with surgical management. In this study, we report a case of gastric angiolipoma of approximately 4 cm in size that was diagnosed and treated with endoscopic submucosal dissection.
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A rare cause of upper gastrointestinal bleeding in an elderly female: Gastric Angiolipoma Xiufan Ni, Sujun Gao, Lei Chen, Li Zhang, Jian Yin, Zhen Zhu Revista Española de Enfermedades Digestivas.2023;[Epub] CrossRef
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Hemorrhage: A Case Report Joo Hyeok Choi, Sung Bin Park, Jong Beum Lee, Tae-Jin Lee, Hyun Jeong Park, Eun Sun Lee Current Medical Imaging Formerly Current Medical Imaging Reviews.2023;[Epub] CrossRef
Bong Hwan Kim, M.D., Won-Kyu Lee, M.D., Young Sam Kim, M.D., Yun-Hyoung Kim, M.D.,Yoo-Soon Ko, M.D., Tae Sik Won, M.D., Dae Jin Kim, M.D., Hyo Seung Kang, M.D., Dong Il Byun, M.D., In Sik Park, M.D.* and Soo Nam Lee, M.D.†
Korean J Gastrointest Endosc 2007;34(2):115-118. Published online March 2, 2007
Angiolipoma is a benign tumor that is mainly observed in the subcutaneous tissue and is composed of mature adipose tissue and proliferative blood vessels. However, the condition is rare in the gastrointestinal tract including the colon. There was a case report of angiolipoma of the proximal ileum but there are no reports of angiolipoma of the colon in Korea. A 47-year-old man, who presented with intermittent left lower quadrant pain and hematochezia, underwent contrast enhancement CT, which revealed a huge mass with inhomogeneous density in the distal descending colon. The colonoscopy viewed a large polypoid mass with vascular engorgement, and a laparotomy was performed urgently due to the persistent abdominal pain, intussusception and hematochezia. The histology examination disclosed a benign angiolipoma. We report this case of symptomatic angiolipoma of the distal descending colon.