Angiomyolipoma of colon: unusual presentation

Authors

  • Vidhyachandra Gandhi Department of GI Surgery, Ruby Hall Clinic, Pune, Maharashtra, India
  • Swapnil Karnik Department of Pathology, Ruby Hall Clinic, Pune, Maharashtra, India
  • Nitin Pai Department of Gastroenterology, Ruby Hall Clinic, Pune, Maharashtra, India
  • Sujai Hegde Department of Surgical Oncology, Ruby Hall Clinic, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20192394

Keywords:

Angiomyolipomas, Intussusception, Colon

Abstract

Angiomyolipomas are benign mesenchymal tumors mostly arising from the kidney. Angiomyolipoma of the colon is extremely rare. Here we report the findings of a 72 years gentleman who presented with recurrent episodes of abdominal pain and fullness of one year duration. Colonoscopy was suggestive of polypoidal lesion in the descending colon. CECT abdomen revealed a colocolic intussusception in the descending colon with lipoma as a leading point. He underwent a standard left hemicolectomy. Histopathological examination showed that the tumor of 5.7 cm in diameter included smooth muscle (spindle cell type), mature adipose tissue, and vessels, and therefore a diagnosis of angiomyolipoma was made. We believe this is the second report of colonic angiomyolipoma presenting with colocolic intussusception. 

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Published

2019-05-28

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Section

Case Reports