Giant Transverse Colon Lipoma, A Cause of Chronic Abdominal Pain. A Case Report

Abstract

Lipomas are benign tumors derived from mature adipocytes, most frequently located in the colon. Patients are generally asymptomatic, so they are mostly diagnosed incidentally; however, in very few occasions they can generate symptoms due to complications, such as digestive hemorrhage due to ulceration, intestinal obstruction or chronic pain. This article aims to report the case of a 60-year-old patient with chronic abdominal pain, who received medical management with antispasmodics. without achieving improvement of the condition, Due to the lack of improvement, an abdominal computed tomography was performed as part of the diagnostic studies, where the presence of a giant transverse colon lipoma was evidenced, to which the etiology of the pain was attributed. For this reason, it is important to consider benign non-epithelial colon tumor lesions as causes of abdominal pain and therefore a careful evaluation of the gastrointestinal tract in imaging studies by the radiologist.