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Bleeding duodenal lipoma treated with endoscopic polypectomy.
Harish K Mohamed1, Chigamthara C Suresh, Kadakketh G Alexander
1Department of Gastroenterology, District Co-Operative Hospital and Department of Gastroenterology, Baby Memorial Hospital, Kozhikode 673006, Kerala, India. dr_harishk@yahoo.co.in
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|January 1, 2009
Summary
Duodenal lipomas are rare causes of upper gastrointestinal bleeding. Endoscopic polypectomy successfully treated a large bleeding duodenal lipoma in a 70-year-old woman.
Area of Science:
- Gastroenterology
- Gastrointestinal Endoscopy
- Surgical Oncology
Background:
- Duodenal lipomas are benign tumors of mesenchymal origin.
- They are infrequently encountered in clinical practice.
- Severe upper gastrointestinal hemorrhage is an exceptionally rare complication of duodenal lipomas.
Observation:
- A 70-year-old female patient presented with acute, significant upper gastrointestinal bleeding.
- Diagnostic investigations revealed a large duodenal lipoma as the source of hemorrhage.
- The lipoma was identified as the cause of the severe bleeding episode.
Findings:
- The bleeding duodenal lipoma was successfully managed using endoscopic polypectomy.
- The patient's upper gastrointestinal hemorrhage was effectively controlled through this minimally invasive procedure.
- Histopathological examination confirmed the diagnosis of a duodenal lipoma.
Implications:
- This case highlights that duodenal lipomas, though rare, can present with severe gastrointestinal bleeding.
- Endoscopic polypectomy is a viable and effective treatment option for bleeding duodenal lipomas.
- Timely diagnosis and endoscopic intervention can prevent morbidity and mortality associated with this rare condition.
