Diffuse colonic lipomatosis presenting as acute abdomen with intraoperative resemblance of colonic carcinoma and concealed perforation

Introduction Diffuse colonic lipomatosis is a rare condition characterized by the presence of lobules of adipose tissue in the submucosa of the whole colon affected[1]. Though rare, colonic lipomatosis can present with features of obstruction, perforation and intussusception[2]. They can also mimic colonic carcinoma intraoperatively[3]. There have been reports of five cases of diffuse colonic lipomatosis in literature before[2][3]. Herein we report the sixth case of diffuse colonic lipomatosis resembling colonic carcinoma and concealed perforation.