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      A case report and literature review of rectal lipoma

      research-article
      Author(s): , MD a , b , , MD b , , MD c , * ,
      Publication date (Electronic):
      Journal: Medicine
      Publisher: Lippincott Williams & Wilkins
      Keywords: anal lump, giant rectal lipoma, transanal mass resection

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          Abstract

          Rationale:

          Colonic lipomas are uncommon benign submucosal adipose tumors that are usually asymptomatic. In principle, large lipomas can cause symptoms that require further treatment. Here, we report a case of prolapsed giant rectal lipoma and transanal mass resection.

          Patient concerns:

          A 65-year-old male developed rectal mass prolapse with bloody stool for 1 day.

          Diagnoses:

          The pathological findings were rectal lipoma.

          Intervention:

          After resection of the anal tumor, the patient postoperative symptoms quickly disappeared.

          Outcomes:

          No recurrence of the condition was observed after 6 months of follow-up after surgery.

          Lessons:

          It is safe and feasible for us to perform transanal mass resection for giant rectal lipomas that protrude outside the anus.

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          Most cited references15

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          Intussusception related to transverse colonic lipoma: a case report and review of the literature

          Maxime Meunier, Augustin Limgba, Isaline Schumacker … (2020)
          Lipomas are rare and benign colonic soft tissue lesions derived from mature adipocytes. Their poor clinical expression usually leads to a coincidental discovery during procedures like colonoscopy, imagery, surgery or autopsy. Due to their small size, a simple observation would usually be recommended. However, colonic lipomas (CLs) with clinical symptoms or signs including abdominal pain, nausea, vomiting, diarrhea, anaemia or even intussusception would need invasive treatment. It is recommended to perform surgery to treat CLs that are >2 cm. Endoscopic procedures could be an interesting alternative for the future but would still require further investigation. We report the case of a 30-year-old patient with transverse CLs leading to obstruction of the descending colon by intussusception and continue by presenting a review of the current literature.
          Article 0 comments Cited 7 times – based on 0 reviews     Review now
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            Splenic flexure colonic lipoma causing intussusception

            Moustafa Moussally, Imad Mokalled, Faek Jamali … (2021)
            Lesson Colonic lipomas are rare benign tumours that are usually asymptomatic. However, giant colonic lipomas tend to be symptomatic and can occasionally result in intussusception and intermittent colonic obstruction. As adult intussusception is an uncommon occurrence, the identification of the underlying aetiology is essential due to its high association with malignancy. Computed Tomography remains the tool of choice for the diagnosis of colonic lipomas. Surgical excision remains the mainstay treatment of giant symptomatic colonic lipomas. We hereby present the case of a 51-year-old male found to have a colonic lipoma causing recurrent intussusception. We discuss the approach, diagnostic tools and available treatment modalities for colonic lipomas. We also provide a brief literature review of intussusception in adults.
            Article 0 comments Cited 4 times – based on 0 reviews     Review now
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              Colonic lipomas revisited on CT colonography.

              Shima Roknsharifi, Zina Ricci, Mariya Kobi … (2022)
              CT colonography (CTC) is growing in its utilization as a nationally approved colorectal cancer screening test. After colonic polyps, lipomas are the second most common colonic lesions and their accurate and rapid recognition are important.
              Article 0 comments Cited 3 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Wenguang Gao
                Kun Zhang:
                ORCID: https://orcid.org/0009-0009-7374-6763
                Journal
                Journal ID (nlm-ta): Medicine (Baltimore)
                Journal ID (iso-abbrev): Medicine (Baltimore)
                Journal ID (publisher-id): MD
                Title: Medicine
                Publisher: Lippincott Williams & Wilkins (Hagerstown, MD )
                ISSN (Print): 0025-7974
                ISSN (Electronic): 1536-5964
                Publication date Collection: 27 October 2023
                Publication date (Electronic): 27 October 2023
                Volume: 102
                Issue: 43
                Electronic Location Identifier: e34429
                Affiliations
                [a ] Shandong University of Traditional Chinese Medicine, Linyi City, Shandong Province, China
                [b ] Linyi Traditional Chinese Medicine Hospital, Linyi City, Shandong Province, China
                [c ] Department of Radiology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, ZheJiang, China.
                Author notes
                [* ]Correspondence: Feng You, Department of Radiology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310000, ZheJiang, China (e-mail: Yfeng802@ 123456163.com ).
                Author information
                https://orcid.org/0009-0009-7374-6763
                Article
                Accession ID: 00009
                DOI: 10.1097/MD.0000000000034429
                PMC ID: 10615481
                SO-VID: 984a3035-8b78-4df2-b4d9-72835ed5ede2
                Copyright © Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.
                License:

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 03 May 2023
                Date received : 28 June 2023
                Date accepted : 30 June 2023
                Categories
                Subject: 3700
                Subject: Research Article
                Subject: Clinical Case Report
                Custom metadata
                OPEN-ACCESS TRUE

                Keywords: anal lump,giant rectal lipoma,transanal mass resection
                Data availability:
                Keywords: anal lump, giant rectal lipoma, transanal mass resection

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