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Hemorrhagic duodenal lipoma managed by endoscopic resection
Suketo Sou1, Hideyuki Nomura, Yasuhiro Takaki
1Department of Gastroenterology, Shin-Kokura Hospital, Kanada, Kokurakita-ku, Kitakyushu, Japan. suketo@cis.fukuoka-u.ac.jp
Journal of Gastroenterology and Hepatology
|March 3, 2006
Summary
An 81-year-old woman presented with melena due to a duodenal lipoma. This benign tumor was successfully removed using minimally invasive endoscopic polypectomy, resolving the hemorrhage.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Melena in elderly patients necessitates thorough investigation of the gastrointestinal tract.
- Submucosal duodenal tumors can present with significant bleeding, requiring accurate diagnosis and treatment.
Observation:
- An 81-year-old female patient presented with melena.
- Imaging revealed a 50 mm pedunculated submucosal tumor in the third part of the duodenum.
- Endoscopy characterized the lesion as a yellowish submucosal mass.
Findings:
- Computed tomography and fluoroscopy confirmed the diagnosis of duodenal lipoma.
- Histopathological examination of the excised specimen showed mature adipose tissue consistent with lipoma.
- Small ulcers on the tumor surface exposed vessels, identified as the source of hemorrhage.
Implications:
- Duodenal lipomas, though benign, can cause significant gastrointestinal bleeding.
- Endoscopic polypectomy is a safe and effective minimally invasive treatment for pedunculated duodenal lipomas accessible via endoscope.
- Early diagnosis and endoscopic intervention can prevent complications associated with gastrointestinal hemorrhage.