Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2015; 3(5): 457-461
Published online May 16, 2015. doi: 10.12998/wjcc.v3.i5.457
Pedunculated colonic lipoma prolapsing through the anus
Omar M Ghanem, Julia Slater, Puneet Singh, Richard F Heitmiller, Joseph D DiRocco
Omar M Ghanem, Julia Slater, Richard F Heitmiller, Joseph D DiRocco, Department of Surgery, Medstar Union Memorial Hospital, Baltimore, MD 21218, United States
Puneet Singh, Saba University School of Medicine, Devens, MA 01434, United States
Author contributions: Ghanem OM, Heitmiller RF and DiRocco JD designed the study; Ghanem OM, Slater J and Singh P collected patient’s clinical data and analyzed the data; Ghanem OM, Slater J, Singh P, Heitmiller RF and DiRocco JD wrote the manuscript; Heitmiller RF and DiRocco JD critically revised the manuscript; all authors declare that they contributed to this article and that they all approve its final submitted version.
Ethics approval: Medstar Health Institutional Review Board has reviewed and approved this study.
Informed consent: A written informed consent was obtained prior to the reporting of this case.
Conflict-of-interest: Each author certifies that he or she has no commercial associations that might pose a conflict of interest in connection with the submitted article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Joseph D DiRocco, MD, Department of Surgery, Medstar Union Memorial Hospital, 200 East University Parkway, Baltimore, MD 21218, United States. diroccomd@gmail.com
Telephone: +1-410-2961661 Fax: +1-410-2961739
Received: October 25, 2014
Peer-review started: October 25, 2014
First decision: December 17, 2014
Revised: February 23, 2015
Accepted: March 16, 2015
Article in press: March 18, 2015
Published online: May 16, 2015
Processing time: 195 Days and 3.2 Hours
Core Tip

Core tip: Colorectal lipomas are typically asymptomatic. They are incidentally found on colonoscopy or radiologic imaging. This report portrays a rare presentation of colonic lipomas as an incarcerated prolapsed mass through the anus, and highlights trans-anal resection as a simple, safe and effective treatment. Thus, it describes an uncommon pathology with a unique presentation that sets a diagnostic and therapeutic challenge.