Okoli, Fidelis, M.D.¹; Golfeyz, Shmuel, M.D.²; Albert, Joel, M.D.²; Mayer, Ira, M.D., FACP, FACG, AGAF, NYSGEF.²

¹Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, New York University Langone Hospital, Long Island, New York
²Division of Gastroenterology and Hepatology, Maimonides Medical Center, Brooklyn, New York

*Corresponding Author: Okoli, Fidelis, M.D, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, New York University Langone Hospital, Long Island, New York.

Received: January 12, 2022; Published: February 22, 2022

Abstract

Although colorectal lipomas are the second most common benign tumors in the colon, they are uncommonly seen in clinical practice. Lipomas are typically asymptomatic and incidentally found during colonoscopy or on radiological imaging. Symptomatic lipomas are usually larger than two centimeters and can present with abdominal pain, change in bowel habits, obstruction, bleeding, intussusception, or perforation. Different imaging modalities can be used to diagnose lipomas however definitive diagnosis is made histologically. Symptomatic lipomas require either endoscopic or surgical resection. We report a case of a colonoscopy-assisted resection of a large sigmoid colonic lipoma that prolapsed through the anal canal.

Keywords: Colorectal Lipomas; Colonoscopy Assisted Resection; Rectal Prolapse; Gastrointestinal Lipomas; Abdominal Pain

References

1. Kouritas VK., et al. “Spontaneous expulsion from rectum: a rare presentation of intestinal lipomas”. World Journal of Emergency Surgery : WJES 6 (2011): 19.
2. Aminian A., et al. “Ileal intussusception secondary to both lipoma and angiolipoma: a case report”. Cases Journal 2 (2009): 7099.
3. Chehade HH., et al. “Large ileocecal submucosal lipoma presenting as hematochezia, a case report and review of literature”. International Journal of Surgery Case Reports 10 (2015): 1-4.
4. Jiang L., et al. “Giant submucosal lipoma located in the descending colon: a case report and review of the literature”. World Journal of Gastroenterology 42 (2007): 5664-5667.
5. Ghidirim G., et al. “Giant submucosal lipoma of the cecum: report of a case and review of literature”. Romanian Journal of Gastroenterology 4 (2005): 393-396.
6. Mouaqit O., et al. “Pedunculated lipoma causing colo-colonic intussusception: a rare case report”. BMC Surgery 13 (2013): 51.
7. Andrei LS., et al. “Rare cause of intestinal obstruction - submucous lipoma of the sigmoid colon”. Chirurgia (Bucharest, Romania : 1990)1 (2014): 142-147.
8. Biswas S., et al. “Large Cecal Lipoma With Overlying Ulceration Simulating Malignancy: A Case Report and Review of Relevant Literature”. Journal of Current Surgery (2013).
9. Michowitz M., et al. “Lipoma of the colon. A report of 22 cases”. The American Surgeon 8 (1985): 449-454.
10. Kose E., et al. “Giant colonic lipoma with prolapse through the rectum treated by external local excision: A case report”. Oncology Letters 3 (2014): 1377-1379.
11. Kang B., et al. “Resolution of intussusception after spontaneous expulsion of an ileal lipoma per rectum: a case report and literature review”. World Journal of Surgical Oncology 12 (2014): 143.
12. Cirino E., et al. “[Intestinal invagination caused by colonic lipoma]”. Minerva Chirurgica 9 (1996): 717-723.
13. Annibale B., et al. “Gastrointestinal causes of refractory iron deficiency anemia in patients without gastrointestinal symptoms”. The American Journal of Medicine 6 (2001): 439-445.
14. Zamboni WA., et al. “Spontaneous expulsion of lipoma per rectum occurring with colonic intussusception”. Surgery 1 (1987): 104-107.
15. Gupta AK and Mujoo V. “Spontaneous autoamputation and expulsion of intestinal lipoma”. The Journal of the Association of Physicians of India 51 (2003): 833.
16. Radhi JM. “Lipoma of the colon: self amputation”. The American Journal of Gastroenterology 11 (1993): 1981-1982.
17. Nebbia JF., et al. “Lipomas of the right colon: report on six cases”. Clinical Imaging 6 (2007): 390-393.

Citation

Citation: Okoli, Fidelis, M.D., et al. “Colonoscopic-Assisted Resection of a Giant Prolapsed Sigmoid Colon Lipoma”. Acta Scientific Gastrointestinal Disorders 5.3 (2022): 48-50.

Copyright

Copyright: © 2022 Okoli, Fidelis, M.D., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.