Colonic lipomas at the University Hospital of the West Indies

Lipomas of the colon are uncommon but cause diagnostic difficulty, when the y, are Symptomatic. The clinical and pathological features of 17 cases of c olonic lipoma diagnosed at University Hospital of the West Indies between 1 970 and 1999 are reported. Ten cases were symptomatic, two of these being d iagnosed - with adult intussusception. Six patients had incidental lipomas in bowel resected for other pathology while one lipoma was diagnosed on sig moidoscopy. Increased awareness of these lesions will enhance pre-operative diagnostic accuracy.