FOR MANY years surgeons have been unusually interested in submucous lipomas of the gastrointestinal tract because of their rarity, bizarre symptomatology, difficulty of diagnosis and the good prognosis after resection.
Submucous lipomas have been found along the gastrointestinal tract from the hypopharynx to the rectum. When found in the stomach or small bowel they are usually small and rarely cause symptoms. The colon has the highest incidence of submucous lipomas, and here they sometimes become bulky and cause obstruction. Of the benign tumors of the intestinal tract, lipomas are second in frequency to adenomatous polyps.
The last survey of the literature was made by Gault and Kaplan1 in 1941, and, including their cases, there were only 130 cases of submucous lipoma of the colon reported. Of these, 111 were clinical cases and the rest were found at autopsy. Since their summary, cases have been reported by Lazarus and Marks,