Zusammenfassung
Eine 59-jährige Patientin stellt sich mit Abdominalschmerzen, Durchfällen und Gewichtsverlust vor. In der Koloskopie wird eine große exulzerierte polypöse Raumforderung an der rechten Kolonflexur gesehen. Unter der Verdachtsdiagnose Kolonkarzinom erfolgt eine Rechtshemikolektomie. Die endgültige Diagnose wird histologisch am Operationspräparat gestellt. Es handelt sich um ein submukosales Lipom. In seltenen Fällen finden sich bei symptomatischen Kolontumoren Lipome, die ein Kolonkarzinom vortäuschen können.
Abstract
A 59-year-old woman was admitted to hospital with abdominal pain, diarrhia and losing weight. In colonoscopy was seen a large exulcerated, polypoid lesion obstructing the bowel lumen in the right flexura. The presumption diagnosis was colorectal cancer and right hemicolectomie was performed. The lesion was confirmed to be a submucosal lipoma of the colon. Symptomatic colon tumors are rarely lipomas, they imitate a carcinoma.
Schlüsselwörter
Lipom - chronische Diarrhö - Abdominalschmerzen
Key words
Lipoma - chronic diarrhoea - abdominal pain
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Prof. Dr. med. J. F. Riemann
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