Rectum lipoma incarcerated in anus as a cause of abundant rectorrhagia

Introduction. Lipomas are slow-growing, benign tumors of mesenchymal origin. In most cases, they are incidental findings during endoscopic examinations. Lipomas in the gastrointestinal tract are rare entities with the lowest rate of occurrence in the rectum. They are mostly asymptomatic but can caus...

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Main Authors: Erić Katarina, Miladinov Marko, Krivokapić Zoran
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2022-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100025E.pdf
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author Erić Katarina
Miladinov Marko
Krivokapić Zoran
author_facet Erić Katarina
Miladinov Marko
Krivokapić Zoran
author_sort Erić Katarina
collection DOAJ
description Introduction. Lipomas are slow-growing, benign tumors of mesenchymal origin. In most cases, they are incidental findings during endoscopic examinations. Lipomas in the gastrointestinal tract are rare entities with the lowest rate of occurrence in the rectum. They are mostly asymptomatic but can cause pain, intussusception, bleeding, volvulus, prolapse, and weight loss if larger than 4 cm. The aim of the presented case report was to demonstrate that abundant rectorrhagia can be caused by a rare entity such as rectal lipoma. Case report. We presented the case of a fifty-year-old male patient with a soft-structure prolapse through the anus accompanied by extensive bleeding. After repositioning, the structure was endoscopically removed. Histopathological analysis confirmed the presence of a lipoma. Conclusion. Rectorrhagia can be a clinical manifestation of this rare condition – incarcerated rectal lipoma – and should be considered in practice as a differential diagnosis in cases where the existence of more common conditions like hemorrhoidal disease and malignant tumors is excluded.
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spelling doaj.art-73e4b1e744b04a20be244e22882bc8772022-12-22T03:19:47ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202022-01-0179883083210.2298/VSP200627025E0042-84502100025ERectum lipoma incarcerated in anus as a cause of abundant rectorrhagiaErić Katarina0Miladinov Marko1Krivokapić Zoran2https://orcid.org/0000-0002-5405-7366University Clinical Center of Serbia, Clinic for Digestive Surgery, First Surgical Clinic, Belgrade, SerbiaUniversity Clinical Center of Serbia, Clinic for Digestive Surgery, First Surgical Clinic, Belgrade, SerbiaUniversity Clinical Center of Serbia, Clinic for Digestive Surgery, First Surgical Clinic, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia + Serbian Academy of Sciences and Arts, Belgrade, SerbiaIntroduction. Lipomas are slow-growing, benign tumors of mesenchymal origin. In most cases, they are incidental findings during endoscopic examinations. Lipomas in the gastrointestinal tract are rare entities with the lowest rate of occurrence in the rectum. They are mostly asymptomatic but can cause pain, intussusception, bleeding, volvulus, prolapse, and weight loss if larger than 4 cm. The aim of the presented case report was to demonstrate that abundant rectorrhagia can be caused by a rare entity such as rectal lipoma. Case report. We presented the case of a fifty-year-old male patient with a soft-structure prolapse through the anus accompanied by extensive bleeding. After repositioning, the structure was endoscopically removed. Histopathological analysis confirmed the presence of a lipoma. Conclusion. Rectorrhagia can be a clinical manifestation of this rare condition – incarcerated rectal lipoma – and should be considered in practice as a differential diagnosis in cases where the existence of more common conditions like hemorrhoidal disease and malignant tumors is excluded.http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100025E.pdfdiagnosis, differentialgastrointestinal hemorrhagehemostasis, endoscopichistological techniqueslipomarectal neoplasms
spellingShingle Erić Katarina
Miladinov Marko
Krivokapić Zoran
Rectum lipoma incarcerated in anus as a cause of abundant rectorrhagia
Vojnosanitetski Pregled
diagnosis, differential
gastrointestinal hemorrhage
hemostasis, endoscopic
histological techniques
lipoma
rectal neoplasms
title Rectum lipoma incarcerated in anus as a cause of abundant rectorrhagia
title_full Rectum lipoma incarcerated in anus as a cause of abundant rectorrhagia
title_fullStr Rectum lipoma incarcerated in anus as a cause of abundant rectorrhagia
title_full_unstemmed Rectum lipoma incarcerated in anus as a cause of abundant rectorrhagia
title_short Rectum lipoma incarcerated in anus as a cause of abundant rectorrhagia
title_sort rectum lipoma incarcerated in anus as a cause of abundant rectorrhagia
topic diagnosis, differential
gastrointestinal hemorrhage
hemostasis, endoscopic
histological techniques
lipoma
rectal neoplasms
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100025E.pdf
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AT miladinovmarko rectumlipomaincarceratedinanusasacauseofabundantrectorrhagia
AT krivokapiczoran rectumlipomaincarceratedinanusasacauseofabundantrectorrhagia