Evidence map›Paper›PMID 41111873›Full record

ArticleCureus2025

Colonic Lipoma Mimicking Gastrointestinal Stromal Tumor: A Case Report of a Diagnosis Pitfall.

Nicolas Ascencio Jaramillo, Sergio Darley Leon Castro, Jose Omar Zorrilla Lara

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nicolas Ascencio JaramilloEmergency Department, Hospital Universitario Fundación Valle del Lili, Cali, COL.
Sergio Darley Leon CastroGeneral Surgery, Hospital Universitario del Valle "Evaristo García," Universidad del Valle, Cali, COL.
Jose Omar Zorrilla LaraOncologic Surgery, Hospital Universitario del Valle "Evaristo García," Universidad del Valle, Cali, COL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colonic mesenchymal tumors represent a diagnostic challenge due to their rarity and the overlap of clinical and imaging features with other subepithelial lesions, particularly gastrointestinal stromal tumors (GISTs). Histopathological evaluation remains essential to guide appropriate management and establish prognosis. We report the case of a 64-year-old woman with a three-year history of abdominal distension, altered bowel habits, and occult gastrointestinal bleeding. Repeated colonoscopies revealed a large subepithelial lesion in the transverse colon, highly suggestive of GIST, though repeated biopsies were nondiagnostic. As symptoms persisted and intestinal obstruction developed, the patient underwent a laparoscopic left hemicolectomy with intracorporeal anastomosis. Final histopathological analysis revealed a benign colonic lipoma. The patient's postoperative course was uneventful, with marked improvement in quality of life. This case illustrates the clinical difficulty of distinguishing between GISTs and colonic lipomas, as endoscopic imaging and biopsy often fail to yield a definitive diagnosis. Tumor size, endoscopic features, and obstructive symptoms guided the therapeutic decision. Surgical resection resolved the obstruction and provided a definitive diagnosis, offering both clinical and psychological benefits. This case highlights the importance of considering colonic lipoma in the differential diagnosis of large subepithelial colonic lesions and reinforces the role of surgery in both treatment and diagnostic certainty.

Indexed as

colonic lipomagastrointestinal stromal tumors (gists)intestinal obstructionminimally invasive laparoscopypersistent abdominal pain

Identifiers

PMID41111873
PMCPMC12534079

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.