Presentation
Swelling of the left gluteal fold with asymmetric gluteal folds and chronic constipation.
Patient Data
Age: 4 years
Gender: Female
From the case:
Ischiorectal lipoma
CLINICAL IMAGE
Enlarged left gluteal fold and asymmetric gluteal folds with chronic constipation.
Axial non-contrast
Pelvic CT shows a huge well defined fatty density mass measuring 39 × 43 × 92 mm extended from the left gluteal fold upward in the ischiorectal fossa compressing and displacing the rectum to the right, compatible with lipoma.
From the case:
Ischiorectal lipoma
CT AXIAL IMAGES
Arrows point to lipoma extended from the left gluteal fold to the ischiorectal fossa compressing and displacing the rectum to the right.
Case Discussion
4 years old girl had chronic constipation and asymmetric gluteal folds. CT pelvic exam shows a large ischiorectal fossa lipoma compressing and displacing the rectum to the right explaining the cause of constipation.
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