Rectal Lipoma in a Pediatric Patient With Inflammatory Bowel Disease

Lapsia, Sameer; Khlevner, Julie; Morganstern, Jeffrey; Chawla, Anupama

doi:10.1097/mpg.0b013e318254c9fe

Cited by 2 publications

(14 citation statements)

References 7 publications

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“…Colonic lipomas are in the second position of frequency after adenomatous polyps. [ 1 2 ] Their incidence in literature is reported between 0.2% and 4.4%. [ 1 3 ] They are most common in adults between 50 and 69 years of age and they have a female predominance.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 2 ] Their incidence in literature is reported between 0.2% and 4.4%. [ 1 3 ] They are most common in adults between 50 and 69 years of age and they have a female predominance. [ 1 2 3 4 ] Their origin is, in the majority of the cases, from the submucosal layer and less frequently from the subserosal or the intermucosal layer.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 3 ] They are most common in adults between 50 and 69 years of age and they have a female predominance. [ 1 2 3 4 ] Their origin is, in the majority of the cases, from the submucosal layer and less frequently from the subserosal or the intermucosal layer. [ 1 2 4 5 ] Their allocation is greater from the rectum to the right colon.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 2 3 4 ] Their origin is, in the majority of the cases, from the submucosal layer and less frequently from the subserosal or the intermucosal layer. [ 1 2 4 5 ] Their allocation is greater from the rectum to the right colon. [ 1 3 4 5 ] Rectal lipomas account for approximately 3.4% of all colonic lipomas.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 2 4 5 ] Their allocation is greater from the rectum to the right colon. [ 1 3 4 5 ] Rectal lipomas account for approximately 3.4% of all colonic lipomas. [ 1 7 10 ] Only four cases in children have been described in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Rectal lipoma in a 4-year-old boy presenting with anal prolapse

Pegios¹,

George²,

Georgakis³

et al. 2022

J Indian Assoc Pediatr Surg

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Colonic lipomas, even though rare, are the most common intramural tumor and the second-most common benign tumor of the colon after adenomatous polyps. We present the case of a 4-year-old boy with a large rectal lipoma causing anal prolapse, bleeding, and constipation, to discuss differential diagnostic problems and the proper management. A 4-year-old boy presented with symptoms of anal prolapse and constipation. Anal prolapse was accompanied by a tumor that occasionally was bleeding. Computed tomography was performed to determine the origin of the tumor and its relations with the surrounding tissues. Excision of the mass was performed through retraction through the anus and the anal wall was closed with sutures. Histopathological findings revealed a submucosal lipoma of a 5 cm diameter, with the erosions of the overlying mucosa. The patient was discharged after 3 days with no postoperative complications. Colonic lipomas, even though rare, are the second-most common benign tumor of the colon. Essential reasons for the resection are the potential complications, such as abdominal pain, change in bowel pattern, bleeding, obstruction, intussusception, perforation, and rarely transformation into a liposarcoma. Resection is performed endoscopically if the tumor is <2 cm in diameter and has a narrow base that allows safe ligation. Otherwise, the open procedure should be considered. In our case, prolapse of the mass through the anal canal allowed the transanal resection.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Rectal lipoma in a 4-year-old boy presenting with anal prolapse

Pegios¹,

George²,

Georgakis³

et al. 2022

J Indian Assoc Pediatr Surg

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Concurrent cecal lipoma and Crohn's disease in a pediatric patient: A conservative approach

Shargo,

Ekblad,

Baran

et al. 2024

JPGN rep.

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We report the case of a 14‐year‐old patient with a known history of Crohn's disease who was incidentally diagnosed with an asymptomatic cecal lipoma. A routine surveillance colonoscopy as part of the management of the patient's Crohn's Disease revealed a well‐defined, submucosal, yellowish mass in the patient's cecum. Histopathological examination of a biopsy specimen revealed submucosal adipose tissue, consistent with the endoscopic images showing the characteristic appearance of the lipoma. A computed tomography examination further confirmed the diagnosis. While colonic lipomas are infrequent and typically manifest later in life, few cases report the coexistence of a cecal lipoma with Crohn's disease, particularly in the pediatric population. In this case, managing this dual condition posed a notable challenge. Here, we present the conservative approach to managing a pediatric patient with cecal lipoma and Crohn's disease. The decision to leave the lipoma in situ was based on the absence of symptoms and potential risks associated with surgical removal.

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Rectal Lipoma in a Pediatric Patient With Inflammatory Bowel Disease

Cited by 2 publications

References 7 publications

Rectal lipoma in a 4-year-old boy presenting with anal prolapse

Rectal lipoma in a 4-year-old boy presenting with anal prolapse

Concurrent cecal lipoma and Crohn's disease in a pediatric patient: A conservative approach

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