Pedunculated perianal lipoma: a rare presentation

Authors

  • Sandesh Deolekar Department of Surgery, DY Patil College of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Tanveer Parvez Shaikh Department of Surgery, DY Patil College of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Sharique Ansari Department of Surgery, DY Patil College of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Nisha Mandhane Department of Surgery, DY Patil College of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Sangram Karandikar Department of Surgery, DY Patil College of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Vikash Lal Department of Surgery, DY Patil College of Medicine, Nerul, Navi Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/2320-6012.ijrms20150191

Keywords:

Perianal lipoma, Pedunculated lipoma, Lipoma, Pedunculated swelling in perianal region

Abstract

Lipomas are ubiquitous lesions. Most of the lipomas have a fibrous capsule and are divided into lobules by delicate septae. On gross examination and histological analysis, lipomas resemble mature fatty tissue.They are more compact on the cut surface than normal adipose tissue and the lobules are smaller on histological analysis. There is undoubtedly some physiologic difference between fat of lipoma and normal fat. Perianal lipomas are rare and may have deeper or interspincteric extensions. Preoperative evaluation to rule it out is a necessary part of the work up for any perianal lipoma. The case report is of a soft swelling on left side in the perianal region, which was investigated
to rule out nature of the lesion or deeper and interspincteric extension. Case was managed by complete enucleation
of the lipomatous swelling. Gross and microscopic examination of the surgical specimen revealed a perianal pedunculated lipoma.

References

Enzinger FM, Weiss SE (eds) (1995) Benign lipomatous tumour. In: Soft tissue tumours, 3rd edn. St. Louis, Mosby, p 381.

Gregoire FM, Smas CM, Sul HS (1998) Understanding adipocyte differentiation. Physiol Rev 78:783–809.

Turc Carel C, Dal Cin P, Boghosian L, et al (1988) Breakpoints in benign lipoma may be at 12q13 or 12q14. Cancer Genet Cytogenet 36:131.

Adair FE, Pack GT, Farrior JH (1932) Lipoma. Am J Cancer 16:1104–1106.

Goldfarb M, Finelli R, McCally D, Firoozi T (1977) Benign perineal masses in the male. Int Surg 62(10): 541–542.

Musierowicz A, Matejczuk A (1977) Giant perineal lipoma. Pol Przegl Chir 49(6a):757–758.

Lamm DL, Kaplan GW (1977) Accessory and ectopic scrota. Urology 9:149–153.

Sule JD, Skoog SJ, Tank ES (1994) Perineal lipoma and the accessory labioscrotal fold: an etiological relationship. J Urol 151(2):475–477.

Shaul DB, Monforte HL, Levitt MA, Hong AR, Peña A. Surgical management of perineal masses in patients with anorectal malformations. J Pediatr Surg 2005; 40: 188 – 191.

Goldfarb M, Finelli R, McCally D, Firoozi T (1977) Benign perineal masses in the male. Int Surg 62(10): 541–542.

Dr. Shool Rohit S., Dr.Tambe Harshal S., Dr. Anand P Zingade Perianal Lipoma a rare case - A Case Report Indian Journal of Applied Research, Vol.III, Issue.V May 2013.

Downloads

Published

2017-01-09

How to Cite

Deolekar, S., Shaikh, T. P., Ansari, S., Mandhane, N., Karandikar, S., & Lal, V. (2017). Pedunculated perianal lipoma: a rare presentation. International Journal of Research in Medical Sciences, 3(6), 1557–1558. https://doi.org/10.18203/2320-6012.ijrms20150191

Issue

Section

Case Reports