A greasy case!

This polyp was removed from the ascending colon. Histology confirmed that the lesion was a TA+LGD. However, it also mentions an underlying lipoma ... 
WHICH STATEMENT DO YOU AGREE WITH?

■ There was no lipoma!

That's right!

■ Hmm, may have missed that?

You didn't miss anything!

■ Yes, this was noted at the time

The submucosa is often 'fatty' in the right hemicolon!

explanation

It's common for the submucosa on the right side of the colon to be laden with fat. In fact, you can see the fat globules in the bottom-right image where the lesion has been turned up-side-down. It can be a little alarming to see fat floating about in the mucosal defect after the resection . You may think that you have perforated but it's normal !