Yoshida Yusuke, Shoji Ryohei, Matsumi Yuki, Watanabe Ko, Fujiwara Toshiyoshi
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, JPN.
Department of Gastroenterological Surgery, Okayama University Hospital, Okayama, JPN.
Cureus. 2025 Jun 11;17(6):e85768. doi: 10.7759/cureus.85768. eCollection 2025 Jun.
Colorectal lipomas are benign tumors that are often asymptomatic and discovered incidentally. In most cases, they can be managed conservatively with observation. We report the case of a man in his 70s with a colorectal lipoma located in the cecum. An investigation into his severe anemia led to the suspicion that the cecal lipoma was the underlying cause. An ileocecal resection was performed. Erosions were observed at the center of the lipoma. Although small colorectal lipomas are generally asymptomatic and rarely cause anemia, periodic endoscopic examinations are recommended. These lesions should be considered in the differential diagnosis of lower gastrointestinal bleeding.
结直肠脂肪瘤是一种良性肿瘤，通常无症状，多为偶然发现。在大多数情况下，可通过观察进行保守治疗。我们报告一例70多岁男性患者，其盲肠有一个结直肠脂肪瘤。对其严重贫血进行检查后怀疑盲肠脂肪瘤是潜在病因。遂进行了回盲部切除术。在脂肪瘤中心观察到糜烂。虽然小的结直肠脂肪瘤一般无症状，很少引起贫血，但仍建议定期进行内镜检查。在鉴别诊断下消化道出血时应考虑这些病变。
