Background: Lipomas are benign adipose tissue tumours, very common in superficial locations. Deep-seated ones like those involving the gastrointestinal tract are uncommon and involvement of the anal canal is rare. We present an incidental finding of a submucosal lipoma of the anal canal in an elderly patient with colonic diverticulosis.Case Presentation: A 70-year-old man was referred for colonoscopy on account of recurrent passage of bloody stool of three months duration. There was no history of anal protrusion, anal pain/discomfort, change in bowel habit, tenesmus, melaena or abdominal pain. No history of fever or weight loss and he had no comorbid illness. He was pale on examination, otherwise other aspects of his general and systemic examinations were normal. At colonoscopy, he had multiple diverticuli in the caecum, ascending colon and descending colon with a sessile polyp in the descending colon. There was a yellowish, oval submucosal sessile mass with a lobulated surface, about 3cm from the anal verge and an increased yellowish hue to the large bowel submucosa in the anal canal and at the sites of diverticula. The anal submucosal mass was biopsied.
Conclusion:Lipomas of the anal canal are rare. Although an incidental endoscopic finding in this report, coexistence of large bowel lipomas with increased submucosal adiposis colonic diverticuli may suggest an aetiological role of such lipomas in colonic diverticulosis.of the GIT is the colon, with the highest incidence at the cecum,