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An unusual case of rectal prolapse
P-E Robert1, G Meurette, P-A Lehur
1Clinique de chirurgie digestive et endocrinienne, CHRU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France. pierreem.robert@gmail.com
Journal of Visceral Surgery
|November 29, 2011
Summary
A rare sigmoid lipoma caused rectal prolapse in a 73-year-old female. Surgical resection, specifically transanal resection, is a feasible treatment for this benign tumor to prevent mechanical complications.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Surgical Oncology
Background:
- Sigmoid lipomas are rare, benign submucosal tumors of the colon.
- While typically asymptomatic, large lipomas can cause significant gastrointestinal complications.
- Rectal prolapse is an uncommon but serious mechanical complication associated with sigmoid lipomas.
Observation:
- A 73-year-old female presented with symptoms of rectal prolapse.
- Imaging and endoscopic evaluation revealed a large sigmoid lipoma as the underlying cause.
- The lipoma's size and location were identified as predisposing factors for the prolapse.
Findings:
- The sigmoid lipoma was confirmed as the etiology of the rectal prolapse.
- Surgical intervention was deemed necessary due to the risk of mechanical complications.
- Transanal resection was selected as the surgical approach for tumor removal.
Implications:
- This case highlights the importance of considering sigmoid lipomas in the differential diagnosis of rectal prolapse.
- Transanal resection represents a viable and potentially less invasive surgical option for sigmoid lipomas causing prolapse.
- Early diagnosis and resection of symptomatic sigmoid lipomas can prevent severe mechanical complications and improve patient outcomes.
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