Brayan A. Rodríguez, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Roberto J. Rodríguez, Departamento de Cirugía General, Unidad de Coloproctología, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Rafael H. Pino, Departamento de Cirugía General, Unidad de Cirugía Gastrointestinal y Endoscopia, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Luis G. Vargas, Departamento de Cirugía General, Unidad de Cirugía Gastrointestinal y Endoscopia, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Aylinn G. Gonzalez, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Diana Garavito, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Lipoma is a benign tumor composed of mature adipose tissue, most commonly located in the subcutaneous tissue of the trunk and extremities. Its occurrence in the deep perineal region is exceptional. When it reaches a large size and extends into the ischiorectal fossa, it may represent a diagnostic and surgical challenge due to its proximity to sphincteric structures. We report the case of a patient with a five-year history of a painless left perineal mass without continence impairment. Magnetic resonance imaging revealed a lipomatous lesion with ischiorectal extension. Complete surgical excision with sphincter preservation was performed, confirming mature lipoma and favorable outcome.
Keywords: Perineal lipoma. Ischiorectal fossa. Soft tissue tumor. Sphincter preservation.
