Symptomatic submucosal lipoma of the large bowel

Abstract

Symptomatic large bowel lipomata may be of considerable size and usually present in middle age with symptoms of obstruction or bleeding. Although they are rare, their recognition is important so that patients may be spared unnecessary colonic resection for a presumptive malignant diagnosis. Colonoscopic removal may often be feasible. Six cases are reported together with a review of the literature emphasizing the characteristic features.

Transanal Resection of Rectal Lipoma Mimicking Rectal Prolapse: Description of a Case and Review of the Literature

“…Some authors have reported a female predominance while others found a nearly equal sex incidence [1]. In general, most lipomas are silent, and most series in the literature are autoptic reports in which their incidence ranges from 0.35 to 4.4% [2].…”

Intussusceptions in Adults: Clinical Course and Associated Lesions

“…The patients had the following symptoms: colicky pain (16), nausea and vomiting (9), abdominal distension (8), palpable mass (5), rectal bleeding (4), body weight loss (3), diarrhoea (1) and melena (1). In only 2 cases was the clas sic triad of colicky pain, vomiting and rectal bleeding present.…”

“…Sometimes, an intramural hematoma sec ondary to a coagulopathy such as may occur in chronic renal insufficiency, leukaemia, Henoch-Schonlein purpura or after oral anticoagulant therapy may act as a lead point [1,4,[8][9][10][11][12][13][14][15], Intussusception can also be associated with AIDS-related Kaposi's sarcoma: either secondary to direct small bowel involvement in Kaposi's sarcoma or secondary to saprophyte enteric infection without any small bowel tumour infiltration [16], If any organic lesion can induce intussusception, surgical anastomosis is rarely reported in the literature in this context [5,17],…”

An unusual case of rectal prolapse

“…The surgical route is favored if there is any diagnostic doubt, if the lesion is sessile, or for lesions larger than 4 cm [2]. Rectosigmoid CL's up to 7 cm in size can be resected transrectally [3]. Transanal resection using endoscopic microsurgery (TEM) is the favored approach for lesions of the mid and upper rectum [4].…”