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Colonic lipomas are usually seen as small dimensions in the cecum and ascending colon of elderly women. Many of colon lipomas are asymptomatic and diagnosed incidentally during endoscopy or surgery. As diameter increases it can cause symptoms such as bleeding, obstruction or intussusceptions. 53 years old female patient was admitted to the emergency department with ongoing intermittent abdominal pain more significantly over the past year with nausea and vomiting. On routine physicaldoi:10.20944/preprints201812.0242.v1 fatcat:4utl6vgs7jc6fnbltee6trxrgm