# Severe Anemia Caused by a Colorectal Lipoma With Central Erosions: A Case Report

## TL;DR

A man in his 70s developed severe anemia due to a rare complication of a colorectal lipoma, which was diagnosed and treated with surgery.

## Contribution

This case highlights that large colorectal lipomas can cause anemia and should be considered in differential diagnoses for gastrointestinal bleeding.

## Key findings

- A cecal lipoma with central erosions was identified as the cause of severe anemia in a 70-year-old man.
- Ileocecal resection confirmed the diagnosis and resolved the anemia.
- The case underscores the importance of considering lipomas in the differential diagnosis of lower gastrointestinal bleeding.

## Abstract

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.