02619nam a22003737a 4500
190314s20152015 xxu||||| |||| 00| 0 eng d
2307-8960
10.12998/wjcc.v3.i5.457 [doi]
PMC4419109 [pmc]
Ovid MEDLINE(R)
25984520
Pedunculated colonic lipoma prolapsing through the anus.
World Journal of Clinical Cases. 3(5):457-61, 2015 May 16.
World j. clin. cases. 3(5):457-61, 2015 May 16.
World journal of clinical cases
2015
FY2015
ppublish
2019-03-14
Colorectal lipomas are the second most common benign tumors of the colon. These masses are typically incidental findings with over 94% being asymptomatic. Symptoms-classically abdominal pain, bleeding per rectum and alterations in bowel habits-may arise when lipomas become larger than 2 cm in size. Colonic lipomas are most often noted incidentally by colonoscopy. They may also be identified by abdominal imaging such as computed tomography or magnetic resonance imaging. We report a case of a sixty-one years old male who presented to our emergency room with a 6.7 cm x 6.3 cm soft tissue mucosal mass protruding transanally. The patient was stable with a benign abdominal examination. The mass was initially thought to be a rectal prolapse; however, a limited digital rectal exam was able to identify this as distinct from the anal canal. Since the mass was irreducible, it was elected to be resected under anesthesia. At surgery, manipulation of the mass identified that the lesion was pedunculated with a long and thickened stalk. A laparoscopic linear cutting stapler was used to resect the mass at its stalk. Pathology showed a polypoid submucosal lipoma of the colon with overlying ulceration and necrosis. We report this case to highlight this rare but possible presentation of colonic lipomas; an incarcerated, trans-anal mass with features suggesting rectal prolapse. Trans-anal resection is simple and effective treatment.
English
PubMed-not-MEDLINE -- Not indexed
MedStar Union Memorial Hospital
Surgery
Case Reports
DiRocco, Joseph D
Ghanem, Omar M
Heitmiller, Richard F
Singh, Puneet
Slater, Julia
DiRocco JD, Ghanem OM, Heitmiller RF, Singh P, Slater J
https://dx.doi.org/10.12998/wjcc.v3.i5.457
https://dx.doi.org/10.12998/wjcc.v3.i5.457
ART
Article
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0
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0
Article
authcat
authcat
2019-03-14
0
25984520
25984520
2019-03-14
2019-03-14
ART
4134
4134