Tenesmusun Nadir Bir Nedeni: Perirektal Lipom

Year 2022, , 24 - 27, 30.04.2022

Tolga Kalaycı , Murat Kartal

https://doi.org/10.35514/mtd.2022.64

Abstract

Lipom vücudun herhangi bölgesinde ortaya çıkabilen, yağ dokusunun kapsüllü ve iyi huylu tümörüdür. Genelde asemptomatik, yumuşak, hareketli kitleler olarak tanımlanırlar. Perineal lipom nadir görülen bir lipom bölgesi olup; hastanın oturmasında zorluğa ve rahatsızlık hissine neden olabilmektedir. Lipom boyutu büyük ise etraf sinirlerde bası etkisi oluşturarak, zamanla deformasyon oluşturarak veya sürekli sinir uyarılması nedeni ile tenesmusa neden olabilmektedir. Çalışmamızda perianal bölgede ele gelen ve sürekli dışkılama isteği şikâyeti ile polikliniğe başvuran, muayenede perirektal alanda dev lipom tanısı konulup, lipom eksizyonu yapılan olgunun sunumu amaçlanmaktadır.

Keywords

Tenesmus, Perirektal lipom, Rektal tuşe

A Rare Cause of Tenesmus: Perirectal Lipoma

Abstract

Lipoma is an encapsulated and benign tumor of adipose tissue that can occur in any part of the body. They are generally defined as asymptomatic, soft, mobile masses. Perineal lipoma is a rare lipoma region, it can cause difficulty and discomfort for the patient to sit. If the size of the lipoma is large, it may cause tenesmus by creating a pressure effect on the surrounding nerves, creating deformation over time or due to continuous nerve stimulation. In our study, it is aimed to present the case of a patient who applied to the clinic with the complaint of persistent desire to defecate in the perianal region and was diagnosed with a giant lipoma in the perirectal area and underwent lipoma excision.

Keywords

Tenesmus, Perirectal lipoma, Digital examination

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