Although infrequent, lipomas are the most common non-epithelial benign gastrointestinal tumors after leiomyomas (Weinberg and Feldman 1955). Most gastrointestinal lipomas are asymptomatic and are discovered fortuitously, but they occasionally cause a wide, although nonspecific, spectrum of symptoms and can sometimes even mimic a malignancy (Reichbach and Kobayashi 1970). Until recently, radiologic diagnosis was usually difficult because barium studies could determine the benign nature of the tumor but could not specify the etiology. CT now allows pathognomonic diagnosis by demonstrating the fat density of these tumors (Megibow et al. 1979; Nijssens et al. 1983; Ormson et al. 1985). After a review of general anatomic features, gastrointestinal lipomas are discussed for each gastrointestinal site. The clinical and paraclinical symptoms including barium findings, which suggest the etiology, are discussed before the CT patterns, which are diagnostic.


Barium Study Duodenal Bulb Intraluminal Tumor Clinical Latency Colonic Lipoma 
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  1. Ackerman NB, Chughtai SQ (1975) Symptomatic lipomas of the gastrointestinal tract. Surg Gynecol Obstet 141: 565–568PubMedGoogle Scholar
  2. Agha FP, Dent TL, Fiddian-Green RG, Braunstein AH, Nostrant TT (1985) Bleeding lipomas of the upper gastrointestinal tract. A diagnostic challenge. Am Surg 51: 279–285Google Scholar
  3. Bernatz PE, Smith JL, Ellis FH, Andersen HA (1957) Benign pedunculated intraluminal tumors of the esophagus. J Thorac Surg 35: 503–512Google Scholar
  4. Bruneton JN, Quoy AM, Dageville X, Lecomte P (1984) Les lipomes du tube digestif. Revue de la littérature â propos de 5 cas. Ann Gastroenterol Hepatol (Paris) 20: 27–32Google Scholar
  5. Carlson HC, Good CA (1973) Neoplasms of the small bowel. In: Margulis AR, Burhenne Hi (eds) Alimentary tract roentgenology, 2nd edn. Mosby, St Louis, pp 865–902Google Scholar
  6. Celik C, Karakousis CP, Moore R, Holyoke ED (1980) Liposarcomas: prognosis and management. J Surg Oncol 14: 245–249PubMedCrossRefGoogle Scholar
  7. Chu AG, Clifton JA (1983) Gastric lipoma presenting as peptic ulcer. Case report and review of the literature. Am J Gastroenterol 78: 615–618Google Scholar
  8. Comfort MW (1931) Submucous lipomas of the gastrointestinal tract. Surg Gynecol Obstet 52: 101–118Google Scholar
  9. Crowe JM, Harte P, Dawson K, Power RF (1986) Gastric lipoma as a cause of upper gastrointestinal bleeding. Ir Med J 79: 13–14PubMedGoogle Scholar
  10. De Beer R, Shinga H (1975) Colonic lipomas. Gastrointest Endosc 22: 90–91PubMedCrossRefGoogle Scholar
  11. Deeths TM, Madden PN, Dodds WJ (1975) Multiple lipomas of the stomach and duodenum. Am J Dig Dis 20: 771–774PubMedCrossRefGoogle Scholar
  12. D’Javid IF (1960) Lipomas of the large intestine: review of the literature and report of a case. J Int Coll Surg 33: 639–668PubMedGoogle Scholar
  13. Einer A, Palm NG (1976) Pedunculated intraluminal fibrolipoma of the esophagus. Acta Otolaryngol (Stockh) 82: 457–462CrossRefGoogle Scholar
  14. Farah MC, Jafri SZH, Schwab RE, Mezwa DG, Francis IR, Noujaim S, Kim C (1987) Duodenal neoplasms: role of CT. Radiology 162: 839–843PubMedGoogle Scholar
  15. Farshi DS (1980) Lipome du côlon. Rapport de trois cas et revue de la littérature. Ann Chir 34: 791–794PubMedGoogle Scholar
  16. Fawcett NW, Bolton VL, Geever EF (1949) Multiple lipomas of the stomach and duodenum. Ann Surg 129: 524–527PubMedCrossRefGoogle Scholar
  17. Feldman M (1961) An appraisal of associated conditions occurring in autopsied cases of lipomas of the gastrointestinal tract. Am J Gastroenterol 36: 413–416Google Scholar
  18. Giraud F, Garbay M, Chaouat AG (1985) Lipome gastrique: une cause rare d’hémorragie digestive haute. Ann Chir 39: 333–334PubMedGoogle Scholar
  19. Hall PA, Muffin J, Pollock DJ (1985) Caecal lipowas mimicking colonic angiodysplasia. Br J Radiol 58: 1213–1214PubMedCrossRefGoogle Scholar
  20. Haller JD, Roberts TW (1963) Lipoma of the colon: a clinicopathologic study of 20 cases. Surgery 55: 773–781Google Scholar
  21. Heiken JP, Forde KA, Gold RP (1982) Computed tomography as a definitive method for diagnosing gastrointestinal lipomas. Radiology 142: 409–414PubMedGoogle Scholar
  22. Ho KJ, Shin MS, Tishler JM (1984) Computed tomographie distinction of submucosal lipoma and adenomatous polyp of the colon. Gastrointest Radiol 9: 77–80PubMedCrossRefGoogle Scholar
  23. Hurwitz MM, Redleaf PD, Williams HJ, Edwards JE (1967) Lipomas of the gastrointestinal tract; an analysis of seventy-two tumors. AJR 99: 84–89Google Scholar
  24. Inamura K, Fuchigami T, lida M, Ohgushi H, Omae T, Kimura Y, Iwashita A (1983) Duodenal lipoma. A report of three cases. Gastrointest Endosc 29: 223–234Google Scholar
  25. Imoto T, Nobe T, Koga M, Miyamoto Y, Nakata H (1983) Computed tomography of gastric lipomas. Gastrointest Radiol 8: 129–131PubMedCrossRefGoogle Scholar
  26. Johnson DC, De Gennaro VA, Pizzi WF, Nealson TF (1981) Gastric lipoma: a rare cause of massive upper gastrointestinal bleeding. Am J Gastroenterol 75: 299–301PubMedGoogle Scholar
  27. Kamel F, Pichler W (1985) Diagnose eines Dickdarmlipoms mittels Computertomographie. Roentgenblatter 38: 231–232Google Scholar
  28. Kirkland WG, Bayer RA (1951) Multiple lipomas of the duodenum: a case report. Gastroenterology 19: 142–147PubMedGoogle Scholar
  29. Liliequist B, Wiberg A (1974) Pedunculated tumors of the esophagus: two cases of lipoma. Acta Radiol [Diagn] (Stockh) 15: 383–392Google Scholar
  30. Maderal F, Hunter F, Fuselier G, Gonzales-Rogue P, Torres O (1984) Gastric lipomas. An update of clinical presentation, diagnosis, and treatment. Am J Gastroenterol 79: 964–967PubMedGoogle Scholar
  31. Margulis AR, Jovanovich A (1960) Roentgen diagnosis of submucous lipomas of the colon. MR 84: 1114–1119Google Scholar
  32. Mayo CW, Pagtalunan RJG, Brown DJ (1963) Lipo- ma of the alimentary tract. Surgery 53: 598–603PubMedGoogle Scholar
  33. Megibow AJ, Redmond PE, Bosniak MA, Horowitz L (1979) Diagnosis of gastrointestinal lipomas by CT. MR 133: 743–745Google Scholar
  34. Messer J, Waye JD (1982) The diagnosis of colonic lipomas. The naked fat sign. Gastrointest Endosc 28: 186–188Google Scholar
  35. Michowitz M, Lazebnik N, Noy S, Lazebnik R (1985) Lipoma of the colon. A report of 22 cases. Am Surg 51: 449–454PubMedGoogle Scholar
  36. Nijssens M, Usewils R, Broeckx J, Ponette E, Baert AL (1983) Lipoma of the duodenal bulb. CT demonstration. Eur J Radiol 3: 39–41Google Scholar
  37. Nora PF (1964) Lipoma of the esophagus. Am J Surg 108: 353–356PubMedCrossRefGoogle Scholar
  38. Olmsted WW, Ros PR, Hjermstad BM, McCarthy MJ, Dachman AH (1987) Tumors of the small intestine with little or no malignant predisposition: a review of the literature and report of 56 cases. Gastrointest Radiol 12: 231–239PubMedCrossRefGoogle Scholar
  39. Ormson MJ, Stephens DH, Carlson HC (1985) CT recognition of intestinal lipomatosis. MR 144: 313–314Google Scholar
  40. Palmer ED (1951) Benign intraluminal tumors of the stomach. A review with special reference to gross pathology. Medicine 30: 108–115CrossRefGoogle Scholar
  41. Peabody JW, Ziskind J (1953) Lipomatosis of the stomach. Ann Surg 138: 784–790PubMedCrossRefGoogle Scholar
  42. Peiser J, Ovnat A, Herz A, Hirsch M, Charuzi I (1984) Lipoma of the esophagus. Isr J Med Sci 20: 1068–1070PubMedGoogle Scholar
  43. Plachta A (1962) Benign tumors of the esophagus: review of the literature and report of 99 cases. Am J Gastroenterol 38: 639–652PubMedGoogle Scholar
  44. Reeder PH, Hopens T (1983) Intestinal lipomatosis. An unusual case. Am J Gastroenterol 78: 185188Google Scholar
  45. Reichbach E, Kobayashi S (1970) Gastric lipoma mimicking a gastric malignancy. Dig Dis 15: 359–363CrossRefGoogle Scholar
  46. River L, Silverstein J, Tope JW (1956) Collective review: benign neoplasms of the small intestine. A critical comprehensive review with reports of 20 new cases. Int Abstr Surg 102: 1–38Google Scholar
  47. Ryberg CH (1956) Lipoma of the colon: report of four cases and review of the literature. Acta Chir Scand 111: 45–53Google Scholar
  48. Sarma DP, Weilbaecher TG, Basavaraj A, Reina RR (1984) Symptomatic lipoma of the duodenum. J Surg Oncol 25: 133–135PubMedCrossRefGoogle Scholar
  49. Saviano MS, Ricchi E, Pezcoller C, Carriero A (1986) Considerazioni su un caso di lipoma delle stomaco. Minerva Chir 41: 803–807PubMedGoogle Scholar
  50. Scatarige JC, Allen HA, Fishman EK (1987) Computed tomography of the small bowel. Semin Ultrasound CT MR 8: 403–423Google Scholar
  51. Skinner MS, Broadaway RK, Grossman P, Seckinger D (1983) Multiple gastric lipomas. Dig Dis Sci 28: 1147–1149PubMedCrossRefGoogle Scholar
  52. Solomon A, Michowitz M, Papo J, Yust I (1986) Computed tomographic air enema technique to demonstrate colonic neoplasms. Gastrointest Radiol 11: 194–196PubMedCrossRefGoogle Scholar
  53. Troisier J, Bariety M, Brouet G (1936) Les lipomes sous-muqueux de l’estomac. Arch Fr Mal Appar Dig 26: 787–807Google Scholar
  54. Turkington RW (1965) Gastric lipomas. Report of a case and review of the literature. Am J Dig Dis 10: 719–726PubMedCrossRefGoogle Scholar
  55. Weinberg T, Feldman M (1955) Lipomas of the gas- trointestinal tract. Am J Clin Pathol 25: 272–281PubMedGoogle Scholar
  56. Weiss A, Mollura JL, Profy A, Cohen R (1979) Two cases of complicated intestinal lipoma: review of small bowel lipomas. Am J Gastroenterol 72: 83–88PubMedGoogle Scholar
  57. Whetstone MR, Zuckerman MJ, Saltzstein EC, Boman D (1985) CT diagnosis of duodenal lipoma. Am J Gastroenterol 80: 251–252PubMedGoogle Scholar
  58. Wilson JM, Melvin DB, Gray G, Thorbjarnarson B (1975) Benign small bowel tumor. Ann Surg 181: 247–250PubMedGoogle Scholar
  59. Wychulis AR, Jackman RJ, Mayo CW (1964) Sub-mucous lipomas of the colon and rectum. Surg Gynecol Obstet 118: 337–340PubMedGoogle Scholar
  60. Yadoo S, Dintsman M, Chaimoff C (1971) Lipomas of the rectum: two case reports. Am J Proctol 22: 120–122PubMedGoogle Scholar
  61. Zonderland HM, Ginai AZ (1984) Lipoma of the esophagus. Diagn Imag Clin Med 53: 265–268Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • Jean-Noël Bruneton
    • 1
  1. 1.Service de RadiologieCentre Antoine-lacassagneNice CedexFrance

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