11 August 2023>: Articles
A Sessile Serrated Lesion Overlying a Submucosal Colonic Lipoma: An Endoscopic Rarity Identified Using Artificial Intelligence
Challenging differential diagnosis, Unusual setting of medical care, Rare coexistence of disease or pathology
Carolina Bortolozzo Graciolli Facanali E* , Marcio Roberto Facanali Junior B , Carlos Walter Sobrado Junior C , Adriana Vaz Safatle-Ribeiro ADOI: 10.12659/AJCR.940499
Am J Case Rep 2023; 24:e940499
Figure 1. (A) Flat lesion located in the ascending colon, detected by artificial intelligence through green markings around the lesion on the display (white arrows). (B) Flat lesion (yellow arrows) visualized by chromoendoscopy - Linked Color Imaging (LCI). (C) Magnification and chromoendoscopy – Blue Light Imaging (BLI) – showing open crypts, suggesting a sessile serrated lesion. Artificial intelligence recognizes the lesion and characterizes it as hyperplastic through a green mark on the display (white arrows), and also creates text on the bottom line of the screen, just below the image (yellow arrow). (D) Immediately after the conventional mucosectomy, there was exposure of adipose tissue (white arrow) after resection and displacement of the lesion (yellow arrow), compatible with submucosal lipoma.