Partial spontaneous anal expulsion of the right colon lipoma: An exceptional diagnostic circumstance
| Autor: | Fahmi Hamila, Mohamed Salah Jarrar, Mohamed Amine Elghali, Mohamed Habib Haj Khlifa, Rached Letaief, Houssem Fadhl, Rym Bouriga |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Colonoscopy Colonic lipoma Spontaneous expulsion Asymptomatic Colon Lipoma Article 03 medical and health sciences 0302 clinical medicine medicine otorhinolaryngologic diseases Colectomy medicine.diagnostic_test business.industry Lipoma medicine.disease Anus digestive system diseases Surgery body regions stomatognathic diseases medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom Complication business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Spontaneous anal expulsion is an exceptional mode of discovery of a colonic lipoma. • Expulsion may be partial. • When epulsion is patial, change in lipoma aspect in tomographie may evoke a liposarcoma in CT scan. • The laparoscopic colonic resection is indicated in this circumstance. Introduction Lipomas are most common benign tumors of the colon. They are asymptomatic and fortuitously discovered on a morphological examination. Rarely, they cause complications such as acute intussusception. In this article, we reported an exceptional discovery mode of right colon lipoma. Case presentation A 54-year-old woman has consulted for acute abdominal pain relieved by the anus emission of a fat ball that she brought back with her. Abdominal computed tomography scan showed the remaining part of a lipoma developed in her right colon. Laparoscopic right colonic resection was performed. Discussion Colic lipomas are usually asymptomatic and surgical indication in these cases is debated, but it is indicated whenever complications occur such as acute intestinal intussusception. In this case, discovery mode was not considered as a complication because lipoma evacuation could have been complete. Radiological explorations and colonoscopy could evaluate the lesional state. When surgery is decided, intersecting therapeutic strategy of a short colonic resection guided by a colonization during colonoscopy should be considered. Conclusion The spontaneous expulsion of a colonic lipoma is very rare. Our observation showed that this expulsion may be partial. +The changes that the lipoma undergoes can evoke a malignant cause. a supplement to take care of this eventuality is necessary. |
| Databáze: | OpenAIRE |
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