Spontaneous Expulsion per Rectum of Colonic Lipoma

Rocha, Mário de Seixas; Pereira, Sílvia; Salgado, Marta

doi:10.1016/j.cgh.2017.01.028

“…The spontaneous expulsion per rectum of a polyp is rare, and the literature regarding such cases is limited. There have been several reported cases of rectal expulsion of lipomas [ 22 - 29 ]. With an incidence of 0.035-4.4%, lipomas are the second-most common benign tumors of the colon [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…There have been several reported cases of rectal expulsion of lipomas [ 22 - 29 ]. With an incidence of 0.035-4.4%, lipomas are the second-most common benign tumors of the colon [ 22 ]. In rare circumstances, the lipoma can self-detach and be expelled from the rectum.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Expulsion per Rectum of a Colorectal Polyp: A Rare and Unusual Case

Shah

¹

,

Shahidullah²

2018

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Colorectal polyps are growths that form on the epithelium of the colon and rectum. While their prevalence varies considerably from region to region, they are common in adults. In fact, among asymptomatic, average-risk individuals at 50 years of age, the prevalence of colorectal polyps averages roughly 10% in sigmoidoscopy studies and more than 25% in colonoscopy studies. Approximately two-thirds of all colorectal polyps are adenomatous precancerous lesions that have the potential to become malignant. Usually, they are discovered and resected during colonoscopy. The spontaneous expulsion per rectum of a colorectal polyp is exceedingly rare. Here, we report a rare and unusual case that we believe is the first of spontaneous expulsion of an adenomatous polyp during defecation. These patients should undergo colonoscopy to search for additional polyps as well as other gastrointestinal pathology.

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“…Die komplette oder partielle Ablösung eines Lipoms von seiner Unterlage ist derzeit nicht befriedigend geklärt. Spekuliert wird, dass es bei gestielten großen Lipomenleichtzur Stieldrehungkommenkann, was zur Nekrose des Lipoms mit Abtrennung am Stiel führt [9]. Im vorliegenden Fall eines breitbasigen Lipoms war es wohl zu regressiven Veränderungen mit ausgedehnten Nekrosefeldern gekommen, was die Ablösung eines Lipomknotens verursachte.…”

Section: Diskussionunclassified

Spontanabgang eines mesenchymalen Kolontumors per vias naturales

Scheppach

¹

,

Steger

²

,

Küsters

³

et al. 2022

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Ein 61-jähriger Patient wurde wegen seit drei Wochen anhaltender krampfartiger Oberbauchschmerzen koloskopiert. Endoskopisch fand sich eine nicht abtragbare ulzerierte Raumforderung im Querkolon. Vier Tage nach der Koloskopie kam es zum Spontanabgang eines 4,1 × 3,5 × 2,8 cm großen Tumorknotens im Stuhl, histologisch einem submukösen Lipom entsprechend. Operativ bestätigte sich ein benignes Lipom mit Begrenzung auf die Submukosa. Äußerst selten wird ein Tumorknoten mit dem Stuhl ausgeschieden. Bei Zweifel an der Benignität des Gesamttumors sollten die onkologischen Standards befolgt werden. Schlüsselwörter Tumorknoten • Ausscheidung im Stuhl • Lipom • Kolon • Oberbauchschmerzen

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“…The spontaneous expulsion per rectum of a polyp is rare, and the literature regarding such cases is limited. There have been several reported cases of rectal expulsion of lipomas [22][23][24][25][26][27][28][29]. With an incidence of 0.035-4.4%, lipomas are the secondmost common benign tumors of the colon [22].…”

Section: Discussionmentioning

confidence: 99%

“…There have been several reported cases of rectal expulsion of lipomas [22][23][24][25][26][27][28][29]. With an incidence of 0.035-4.4%, lipomas are the secondmost common benign tumors of the colon [22]. In rare circumstances, the lipoma can self-detach and be expelled from the rectum.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Expulsion per Rectum of a Colorectal Polyp: A Rare and Unusual Case

Shah¹,

Shahidullah²

2018

American Journal of Gastroenterology

0

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Colorectal polyps are growths that form on the epithelium of the colon and rectum. While their prevalence varies considerably from region to region, they are common in adults. In fact, among asymptomatic, average-risk individuals at 50 years of age, the prevalence of colorectal polyps averages roughly 10% in sigmoidoscopy studies and more than 25% in colonoscopy studies. Approximately two-thirds of all colorectal polyps are adenomatous precancerous lesions that have the potential to become malignant. Usually, they are discovered and resected during colonoscopy. The spontaneous expulsion per rectum of a colorectal polyp is exceedingly rare. Here, we report a rare and unusual case that we believe is the first of spontaneous expulsion of an adenomatous polyp during defecation. These patients should undergo colonoscopy to search for additional polyps as well as other gastrointestinal pathology.

show abstract

Spontaneous Expulsion per Rectum of Colonic Lipoma

Cited by 3 publications

References 3 publications

Spontaneous Expulsion per Rectum of a Colorectal Polyp: A Rare and Unusual Case

Spontaneous Expulsion per Rectum of a Colorectal Polyp: A Rare and Unusual Case

Spontanabgang eines mesenchymalen Kolontumors per vias naturales

Spontaneous Expulsion per Rectum of a Colorectal Polyp: A Rare and Unusual Case

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