Genital prolapse with rectal lipoma: a case report and literature review

A postmenopausal woman presented with mass prolapsing per vagina, hematochezia, tenesmus constipation and loss of appetite of six months duration. Speculum examination showed second degree uterovaginal prolapse, cystocele and rectocele. Vaginal examination showed uterus atrophic retroverted and fornices free. Rectal examination revealed a soft smooth swelling in the anterior wall of rectum. Contrast enhanced CT scan of the abdomen revealed rectal submucosal lipoma. She underwent vaginal hysterectomy with pelvic floor repair and transanal delivery of the rectal lipoma.