Oil-induced granuloma (Eleoma) of the rectum

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Abstract
Eleomas, sometimes called paraffinomas or oleogranulomas of the [human] gastrointestinal tract are relatively rare, arising under a variety of circumstances. They may also occur in the skin, and they may arise from injection of mineral oil (paraffin), enema oil, or vegetable oil. Eleoma of the anorectum is a pathologic process with numerous modes of initiation, which manifests in various ways from no symptom to serious illness. Errors in diagnosis can be avoided by biopsy, which will differentiate eleoma from lymphoma, leiomyoma, Crohn''s disease, erythema nodosum, Weber-Christian disease, subcutaneous fat necrosis and other entities of similar appearance. Simple excision with primary closure is adequate therapy for small lesions, while with symptomatic treatment of large lesions excellent anatomic and functional results can be anticipated. Great care must be taken that the condition not be confused with or treated as a more serious lesion.

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