Endoscopy 2020; 52(S 01): S7
DOI: 10.1055/s-0040-1704030
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 08:30 – 10:00 Large colonic polyps: Slice and dice Ecocem Room
© Georg Thieme Verlag KG Stuttgart · New York

UNROOFING TECHNIQUE: LARGE ULCERATED COLONIC LIPOMA MIMICKING MALIGNANCY

A Santos Rodriguez
1   Hospital Universitario Principe de Asturias, Gastroenterology, Alcala de Henares, Spain
,
P Garcia Centeno
1   Hospital Universitario Principe de Asturias, Gastroenterology, Alcala de Henares, Spain
,
MV Cives
1   Hospital Universitario Principe de Asturias, Gastroenterology, Alcala de Henares, Spain
,
David Del Pozo Prieto
1   Hospital Universitario Principe de Asturias, Gastroenterology, Alcala de Henares, Spain
,
IM Medina Exposito
2   Hospital Universitario Principe de Asturias, Pathology, Alcala de Henares, Spain
,
E Poves Martinez
1   Hospital Universitario Principe de Asturias, Gastroenterology, Alcala de Henares, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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A 50-year-old man presented with abdominal pain and intermittent rectorrhagia. Abdominal computed tomography showed a homogenous low-density mass measuring 32 x35mm at descending colon. A colonoscopy revealed a 35mm ulcerated mass. We performed an unroofing resection with a 20 mm electrocautery snare (SD-230U-20, Olympus). Fat tissue was observed extruding from the cut surface. It was subsequently extracted from the open surface with a cold snare. Preventive hemostasis was performed by clipping with a Padlock Clip and convencional endoclips. Histopathological examination revealed an adipose tissue There were no procedure-related complications. The unroofing technique is suitable for the treatment of large lipomas.