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Colonic lipomas are nonepithelial tumors usually detected incidentally during abdominal surgery or colonoscopy. Lipomas generally remain asymptomatic, when they exceed 2 cm of diameter they may cause abdominal pain, obstruction, or intussusception. Here, we present a case of an elderly woman referred by her general practitioner to minimally access surgery outpatient department presented with complaints of passing loose stools 7–8 times a day. Triphasic computed tomography scan confirmed the diagnosis. To reduce the risk of malignancy, laparoscopic-assisted excision of lipoma was done. Histopathological examination of the specimen confirmed the diagnosis of lipoma sigmoid colon.