Giant Ulcerated Colonic Lipoma in an Asymptomatic Patient

Colonic lipomas are benign masses typically found incidentally during routine screening exams. They rarely grow large enough to become symptomatic. While most colonic lipomas are small and do not lead to complications, giant lipomas can present with symptoms ranging from changes in bowel patterns and mild abdominal pain to bowel obstruction. Ulcerated giant colonic lipomas are even more rare findings on screening colonoscopies. Diagnosis in this context can be challenging, and resection is warranted in most cases. Here, we describe an asymptomatic patient who presented for a screening colonoscopy and was found to have a giant ulcerated colonic lipoma.