This ASG video tip is brought to you by an educational grant from Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB. This lesion was seen in a 58-year-old woman who was undergoing a screening colonoscopy and she was asymptomatic. And this is an isolated lesion, it's about two centimeters in size. The overlying mucosa here appears normal and we're going to probe the lesion and you can see that it's soft to probing. So it's an isolated soft lesion, appears to have normal overlying mucosa and the question is what is this lesion? This is a tough one. This is a colonic lymphocele or lymphangiocele, cystic lymphangiocele. These are rare lesions. They are, in my experience, completely benign. There are older reports of people being sent to surgery, getting an endoscopic ultrasound. In my experience, nothing needs to be done with these. Nothing bad happens with them. The tip-off is that they are grayish in color. You can see the gray portion of this lesion in the background because here is a little redder than the previous one and this is a separate lesion. There you can see that grayish appearance as we're gonna go after another small polyp. But you don't need to actually take the fluid out. You don't need to resect these. You just need to recognize them. The key is the gray color compared to lipomas which have a yellow color. Lipomas, of course, are much more common in the colon. I would guess that the prevalence of these lesions is no more than one in several thousand routine colonoscopies. you

video tip

Braintree

Cibela Pharmaceuticals

colonic lymphocele

benign condition