Rectal angiolipoma: A case report and review of literature

Table 1 Gastrointestinal angiolipomas defined in literature

Literature	Localization	Case(age/sex)	Polyp size	Polyp peduncle	Symptom	Preoperativediagnosticimagingmethods(exceptendoscopicprocedure)	Therapy	Follow-up(F/U)/recurrence
Jensen EH et al[9] 2006	Esophagus	85 yr/M	39 mm x 25 mm	Pedunculated large polyp	A 2-mo dysphagia to solids foods, complete esophageal obstruction; had prolapsed to the level of the GE junction	CT , EUS	Anterior esophagotomy, transsection of polyp using an endoscopic stapling device (open surgical excision)	No F/U
DeRidder Ph et al[10] (1989)	Stomach	59 yr/M	6 mm	Submucosal well demarcated mass	Chronic occult GI bleeding		Laparotomy- excision	12 mo/No recurrence
McGregor DH et al[11] (1993)	Stomach	69 yr/M	50 mm x 40 mm x 20 mm	Gastric submucosal mass on great curvature, without peduncle	Chronic hemorrhage and severe anemia		Exploratory laparotomy, mass resection	30 mo/No recurrence
Hunt J et al[12] (1996)	Stomach	27 yr/F	80 mm x 55 mm x 45 mm	Large polypoid mass with large peduncle	Suggestive of intussusception through the pylorus, acute GI hemorrhage		Exploratory laparotomy, distal partial gastrectomy, Billroth I gastric reconstruction, resection of polyp	not given/ No recurrence
Mohl W et al[14] (2004)2	Duodenum, Colon	The first was 66 yr/M, the second was 75 yr/F (2 pts with 1 duodenal and colonic A-L other duodenal A-Ls)	1st-10 mm located near papilla of Vater, and colon 2nd-23 mm at the upper duodenal knee	Both with peduncle	1st acute, 2nd chronic GI bleeding Upper GI bleeding due to duodenal A-L		Endoscopic snare polypectomy for 2 duodenal and for 1 colonic A-Ls	not given/ No recurrence
Jung IS et al[15] (2004)	Duodenum	60 yr/F	35 mm x 4 mm	With peduncle	Dyspepsia for 6 mo	EUS	Endoscopic polypectomy	No F/U
Kaneko T et al[16] (1996)1	Meckel’s diverticulum accompanied A-L				Intussusception
Ferrozzi F et al[3] (1998)	Ileal				With tuberous sclerosis	CT
Manner M et al[17] (2001)	Proximal ileum	71 yr/F	38 mm	With peduncle	Occult bleeding, ileoileal intussusception	US, CT	Small bowel resection
Kwak HS et al[18] (2003)	Small bowel/ proximal ileum	75 yr/M	30 mm	Intraluminal lobulated polypoid mass with peduncle	Epigastric discomfort, loss of appetite, weight loss	Enteroclysis, MRI	Surgery	No F/U
Aouad K et al[19] (2000)	(Bauhin valve) ileocecal valve				Gastrointestinal hemorrhage
Kato K et al[20] (1999)1	Ileocecal valve	69 yr/M	52 mm x 50 mm x 40 mm	Without peduncle, a submucosal smooth surface mass A-L	3-d right lower quadrant abdominal pain	Contrast enhanced abdominal CT	Laparoscopy-assisted ileocecostomy, and a side-to- side anastomosis extracorporeally (a minimally invasive laparoscopic technique)	5 yr/No recurrence
Saroglia G et al[21] (1996)	Ileocecal valve	55 yr/M	55 mm	Submucousal mass	Invagination	Barium contrast graphy	Surgery	No F/U
Vandamme J et al[22] (1964)	Descending colon	43 yr/M	150 mm x 40 mm	With peduncle	GI bleeding and non painful sub- obstruction by invagination	Barium contrast graphy	Surgery, colon resection	not given/ No recurrence
Okuyama T et al[23] (2002)	Sigmoid colon	49 yr/M	65 mm x 23 mm	Pedunculated polyp with smooth surface	Asymptomatic, during routine exam positive fecal blood	Double contrast enema, enhanced CT	Hemostatic clip and endoscopic electro- surgical polypectomy	No F/U
Chen YY et al[24] (2005)	Transvers colon	70 yr/M	50 mm	With peduncle	Colonic obstruction	US, Abdominal CT, Colonic barium enema, colonoscopic examination	Surgical segmental resection	2 yr/No recurrence
Kacar S et al	Rectum	70 yr/F	10 mm	With peduncle	Asymptomatic	-	Polypectomy performed by endoscopic polypectomy snare	6 mo/No recurrence Under F/U

¹Abstract of reference (full text not available);

²Three lesions of angiolipoma in two patients, were defined. GE: Gastroesophageal; A-L: Angiolipoma.