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Caecum lipoma: a rare cause of lower gastrointestinal bleeding

Gustavo Martinez-Mier1, Arturo B Ortiz-Bayliss2, Ruben Alvarado-Arenas2

  • 1Department of Surgical Research, Instituto Mexicano del Seguro Social UMAE 189, Veracruz, Mexico Department of Organ Transplantation, Hospital General de Veracruz, Veracruz, Mexico.

BMJ Case Reports
|September 25, 2014
PubMed

Insights

Benign colon tumors are an uncommon cause of gastrointestinal bleeding. This case highlights a lipoma in the right colon causing severe anemia, successfully treated with surgery.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Colorectal Surgery

Background:

  • Gastrointestinal bleeding from benign colonic tumors is rare.
  • Colonic lipomas, though benign, can cause significant symptoms like anemia due to bleeding.

Observation:

  • A 70-year-old female patient with comorbidities presented with severe anemia.
  • Imaging revealed a right colonic tumor.
  • The tumor was identified as a 4 cm transmural cecal lipoma with mucosal ulceration.

Findings:

  • Surgical resection (right colectomy) was performed without complications.
  • Histopathological examination confirmed a lipoma of the cecum.
  • The patient recovered well, with anemia resolved and no symptoms at 6-month follow-up.

Implications:

  • This case underscores the importance of considering benign tumors, such as lipomas, in the differential diagnosis of lower gastrointestinal bleeding, even in elderly patients with comorbidities.
  • Surgical management is effective for symptomatic colonic lipomas.
  • Complete resolution of symptoms and anemia is achievable with timely intervention.

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