{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:33:00Z","timestamp":1787758380716,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Colonic lipomas, even though rare, are the most common intramural tumor and the second-most common benign tumor of the colon after adenomatous polyps. We present the case of a 4-year-old boy with a large rectal lipoma causing anal prolapse, bleeding, and constipation, to discuss differential diagnostic problems and the proper management. A 4-year-old boy presented with symptoms of anal prolapse and constipation. Anal prolapse was accompanied by a tumor that occasionally was bleeding. Computed tomography was performed to determine the origin of the tumor and its relations with the surrounding tissues. Excision of the mass was performed through retraction through the anus and the anal wall was closed with sutures. Histopathological findings revealed a submucosal lipoma of a 5 cm diameter, with the erosions of the overlying mucosa. The patient was discharged after 3 days with no postoperative complications. Colonic lipomas, even though rare, are the second-most common benign tumor of the colon. Essential reasons for the resection are the potential complications, such as abdominal pain, change in bowel pattern, bleeding, obstruction, intussusception, perforation, and rarely transformation into a liposarcoma. Resection is performed endoscopically if the tumor is &lt;2 cm in diameter and has a narrow base that allows safe ligation. Otherwise, the open procedure should be considered. In our case, prolapse of the mass through the anal canal allowed the transanal resection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_33_22","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T23:28:42Z","timestamp":1668122922000},"page":"768-770","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Rectal Lipoma in a 4-Year-Old Boy Presenting with Anal Prolapse"],"prefix":"10.4103","volume":"27","author":[{"given":"Papouis S.","family":"George","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios G.","family":"Pegios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis Ch","family":"Georgakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria I.","family":"Petridou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos M.","family":"Limas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-23-20240905","doi-asserted-by":"crossref","first-page":"e36","DOI":"10.1097\/MPG.0b013e318254c9fe","article-title":"Rectal lipoma in a pediatric patient with inflammatory bowel disease","volume":"56","author":"Lapsia","year":"2013","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"R3-23-20240905","doi-asserted-by":"crossref","first-page":"5075","DOI":"10.3748\/wjg.v12.i31.5075","article-title":"Clinical evaluation of submucosal colonic lipomas: Decision making","volume":"12","author":"Tascilar","year":"2006","journal-title":"World J Gastroenterol"},{"key":"R4-23-20240905","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.3892\/ol.2014.2317","article-title":"Giant colonic lipoma with prolapse through the rectum treated by external local excision: A case report","volume":"8","author":"Kose","year":"2014","journal-title":"Oncol Lett"},{"key":"R5-23-20240905","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/1749-7922-6-19","article-title":"Spontaneous expulsion from rectum: A rare presentation of intestinal lipomas","volume":"6","author":"Kouritas","year":"2011","journal-title":"World J Emerg Surg"},{"key":"R6-23-20240905","doi-asserted-by":"crossref","first-page":"22","DOI":"10.4314\/pamj.v10i0.72232","article-title":"Intestinal subocclusion due to colonic lipoma: A case report","volume":"10","author":"Bentama","year":"2011","journal-title":"Pan Afr Med J"},{"key":"R7-23-20240905","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/j.radcr.2018.01.012","article-title":"Rectal lipoma as a lead point for colo-colonic intussusception","volume":"13","author":"Shobeirian","year":"2018","journal-title":"Radiol Case Rep"},{"key":"R8-23-20240905","doi-asserted-by":"crossref","first-page":"72","DOI":"10.5223\/pghn.2018.21.1.72","article-title":"An unusual presentation of rectal carcinoma in a child","volume":"21","author":"Tiwari","year":"2018","journal-title":"Pediatr Gastroenterol Hepatol Nutr"},{"key":"R9-23-20240905","doi-asserted-by":"crossref","first-page":"477","DOI":"10.3390\/medicina46070069","article-title":"Colonic intussusception caused by colonic lipoma: A case report","volume":"46","author":"Pa\u0161kauskas","year":"2010","journal-title":"Medicina (Kaunas"},{"key":"R10-23-20240905","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1007\/s00261-010-9668-7","article-title":"Giant rectal lipoma","volume":"36","author":"Arora","year":"2011","journal-title":"Abdom Imaging"},{"key":"R11-23-20240905","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jpedsurg.2009.01.014","article-title":"Primary non-Hodgkin's lymphoma of rectum presenting with rectal 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