Rectum lipoma incarcerated in the anus as a cause of abundant rectorrhagia

Katarina  Erić; Marko Miladinov; Zoran Krivokapić

doi:10.2298/VSP200627025E

Katarina Erić University Clinical Center of Serbia, Clinic for Digestive Surgery, First Surgical Clinic, Belgrade, Serbia
Marko Miladinov Clinic for digestive surgery - First surgical clinic, Clinical centre of Serbia https://orcid.org/0000-0003-3610-4912
Zoran Krivokapić University Clinical Center of Serbia, Clinic for Digestive Surgery, First Surgical Clinic, Belgrade, Serbia University of Belgrade, Faculty of Medicine, Belgrade, Serbia; Serbian Academy of Sciences and Arts, Belgrade, Serbia https://orcid.org/0000-0003-1174-0621

DOI: https://doi.org/10.2298/VSP200627025E

Ključne reči: dijagnoza, diferencijalna;, krvarenje, gastrointestinalno;, hemostaza, endoskopska;, histološke tehnike;, lipom;, rektum, neoplazme.

Sažetak

Uvod. Lipomi su spororastući, benigni tumori mezenhimalnog porekla. U većini slučajeva se njihovo prisustvo slučajno otkriva tokom endoskopskih ispitivanja. Lipomi u gastrointestinalnom traktu su retki i najređe su prisutni u rektumu. Uglavnom su asimptomatski, ali ukoliko su veći od 4 cm mogu uzrokovati bolove, intususepciju, krvarenje, volvulus, prolaps i gubitak telesne mase. Cilj prikaza bio je da se pokaže da uzrok obilne rektoragije može biti i redak entitet kao što je lipom rektuma. Prikaz bolesnika. Prikazali smo slučaj 50-godišnjeg bolesnika sa prolapsom mekotkivne strukture kroz anus, praćenim obilnim krvarenjem. Nakon repozicije, struktura je endoskopski uklonjena. Histopatološkom analizom potvrđeno je prisustvo lipoma. Zaključak. Rektoragija može biti klinička manifestacija ovog retkog stanja – inkarceriranog lipoma rektuma – i trebalo bi da se razmatra u praksi kao diferencijalna dijagnoza u slučajevima kada je isključeno postojanje češćih uzroka rektoragije, kao što su hemoroidalna bolest i maligni tumor.

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Lipom rektuma inkarceriran u anusu kao uzrok obilne rektoragije

Sažetak

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