{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:49Z","timestamp":1756425769175,"version":"3.44.0"},"reference-count":25,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,4,6]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>A colonic lipoma is an uncommon lesion that is linked with clinical symptoms in only a small portion of patients. Patients with large lipomas are often referred for major surgery, which is associated with significant morbidity and mortality. In this case, we described a female patient with recurrent episodes of gastrointestinal blood loss, abdominal pain and colocolic intussusceptions due to a large, lumen-filling, obstructive lipoma in the splenic flexure. On abdominal CT, a lesion of 3.6\u2009cm was visualised with a fat-like density without solid components. Considering its benign nature, we intended to preserve the colon by deroofing the upper part of the lesion and then performing a colonoscopy-assisted laparoscopic wedge resection. During reassessment, auto-amputation of part of the lesion was observed, most likely as a result of long-lasting mechanical effects, which made it possible to perform solely a wedge resection with an excellent outcome.<\/jats:p>","DOI":"10.1136\/bcr-2023-258947","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T02:35:28Z","timestamp":1714012528000},"page":"e258947","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Colonoscopy-assisted laparoscopic wedge resection for a large symptomatic colonic lipoma"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7418-9190","authenticated-orcid":false,"given":"Julia","family":"Hanevelt","sequence":"first","affiliation":[{"name":"Gastroenterology and Hepatology, Isala, Zwolle, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wouter Hugo","family":"de Vos Tot Nederveen 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