Video Tip Diagnosing Colonic Lipoma | February 2023-Diagnosing Colonic Lipoma

Video Transcription

This ASG video tip is brought to you by an educational grant from Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB.  This lesion is about three centimeters in size in the proximal colon and we are probing this lesion with a closed biopsy forcep.  This is a common colonic lipoma and we're demonstrating the cushion or pillow sign which is diagnostic of it. This is not seen with tumor in the wall  or with gist. So this sign is really only otherwise seen with the lymphatic cyst or lymphangeal seal that we saw in an earlier question. That of course is much  more rare than a lipoma and is distinguished by the grayish color of the cyst fluid whereas lipomas usually have a yellow hue. So when you have the  right color and the cushion sign you have a definitive diagnosis of lipoma.  you

Video Summary

The video, sponsored by an educational grant from Braintree, explains the diagnosis of a common colonic lipoma using the cushion or pillow sign. The lesion, approximately three centimeters in size in the proximal colon, is probed with a closed biopsy forcep. The cushion sign, which is not seen with tumors or GIST (gastrointestinal stromal tumors), is only otherwise seen with lymphatic cysts or lymphangeal seal. Lymphatic cysts can be distinguished from lipomas by their grayish cyst fluid, while lipomas typically have a yellow hue. The combination of the right color and the cushion sign gives a definitive diagnosis of a lipoma.

Keywords

video

educational grant

Braintree

colonic lipoma

cushion sign