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Rectal lipoma associated with genital prolapse
P Krishnan1, S Adlekha2, T Chadha3
1Department of Surgical Gastroenterology, Sree Narayana Institute of Medical Sciences, Ernakulam, Kerala, India.
A rare intestinal lipoma presented as a rectal prolapse in a post-menopausal woman. Surgical excision confirmed the diagnosis, highlighting lipomas as a potential cause of rectal bleeding and prolapse.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Lipomas, benign tumors of mature lipocytes, commonly occur in subcutaneous tissues.
- Intestinal lipomas are rare, with a higher prevalence in the large intestine than the small intestine.
Observation:
- A 58-year-old post-menopausal female presented with symptoms of rectal bleeding and utero-vaginal prolapse.
- A prolapsing mass was identified during clinical examination.
Findings:
- Histopathological examination of the excised mass confirmed the diagnosis of a lipoma.
- This case represents a rare instance of an intestinal lipoma manifesting as a prolapsing rectal mass.
Implications:
- Intestinal lipomas should be considered in the differential diagnosis of rectal bleeding and prolapse, particularly in older individuals.
- Prompt diagnosis and surgical management are crucial for resolving symptoms and preventing complications associated with large intestinal lipomas.
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