Giant colonic lipoma with prolapse through the rectum treated by external local excision: A case report

Kose,Emin; Cipe,Gokhan; Demirgan,Serdar; Oguz,Sukru

doi:10.3892/ol.2014.2317

September-2014 Volume 8 Issue 3

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September-2014 Volume 8 Issue 3

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Case Report

Giant colonic lipoma with prolapse through the rectum treated by external local excision: A case report

Authors:
- Emin Kose
- Gokhan Cipe
- Serdar Demirgan
- Sukru Oguz
View Affiliations / Copyright

Affiliations: Department of General Surgery, Büyükcekmece State Hospital, Istanbul 34500, Turkey, Department of General Surgery, Bezmialem Vakif University School of Medicine, Istanbul 34093, Turkey, Department of Anesthesiology and Reanimation, Bagcilar Education and Research Hospital, Istanbul 34200, Turkey, Department of Radiology, KTU Farabi Hospital, Trabzon 61080, Turkey
Pages: 1377-1379
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Published online on: July 4, 2014

https://doi.org/10.3892/ol.2014.2317
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Abstract

Colonic lipomas are a rare type of gastrointestinal benign tumor. Those that are <2 cm are generally asymptomatic and do not require any treatment. However, those that are >2 cm may be symptomatic, resulting in abdominal pain, changes in bowel habits, intestinal obstruction and rectal bleeding. A 39-year-old male patient presented with a mass prolapse through the anal canal, which was causing anal pain and rectal bleeding. The patient was admitted to hospital via the emergency services and directed to the Department of General Surgery with the preliminary diagnosis of a rectal prolapse. A pedunculated polyp (size, 10x8x7.5 cm) was detected at the 35th cm of the anal canal. Due to the large size of the polyp, an endoscopic polypectomy could not be performed. Therefore, the prolapsed lipoma was excised externally and the patient was discharged on the first postoperative day on which no complications were experienced. A colonic lipoma must be considered during the differential diagnosis of anorectal diseases, such as hemorrhoids and rectal prolapses. Local excision, hemicolectomy, and segmental and external resection should be considered in addition to an endoscopic polypectomy for the diagnosis and treatment of colonic lipomas.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Giant colonic lipoma with prolapse through the rectum treated by external local excision: A case report

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