Giant lipoma of the Bauhin’s valve. A case of successful endoscopic removal

Abstract

Lipomas localized in the Bauhin’s valve area can reach large sizes and be accompanied by such clinical symptoms as abdominal pain, intestinal obstruction, bleeding. We present a case of a 63-year-old female patient with pain syndrome in the right iliac region, in whom a large lipoma of the ascending colon was detected during an outpatient examination. After additional examination, endoscopic removal of a giant lipoma originating from the lower lip of the Bauhin’s valve was performed in our clinic using endoscopic submucosal dissection (ESD) with a good result. A special feature of this case was the possibility of endoscopic removal of a large-sized tumor due to a balanced approach, consistency of decision-making, and effective use of gravity when changing the patient’s body position during surgery.