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Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Peptic Ulcer Disease III: Clinical Manifestations and Complications01:25

Peptic Ulcer Disease III: Clinical Manifestations and Complications

Duodenal UlcersDuodenal ulcers are the most common form of peptic ulcer disease, presenting with chronic, intermittent epigastric pain. Pain typically appears 2–3 hours after meals, especially when the stomach is empty, often waking patients at night. It is characteristically relieved by food or antacids (“pain–food–relief”). Some patients remain asymptomatic until complications like bleeding or perforation emerge, particularly with NSAID or anticoagulant use.Gastric UlcersGastric ulcers share...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Peptic Ulcer01:27

Peptic Ulcer

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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

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Related Experiment Video

Updated: Jun 12, 2026

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
08:57

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Published on: June 17, 2018

Duodenal polypoid lipoma with bleeding.

Chen-Wang Chang1, Cheng-Hsin Chu, Shou-Chuan Shih

  • 1Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, No. 92, Sec. 2, Chung-Shan N Rd., Taipei, Taiwan.

American Journal of Surgery
|June 12, 2010
PubMed
Summary
This summary is machine-generated.

Duodenal lipomas are rare benign tumors. This case highlights a rare bleeding polypoid duodenal lipoma requiring surgical intervention over initial endoscopic treatment plans.

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Last Updated: Jun 12, 2026

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
08:57

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Published on: June 17, 2018

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Gastrointestinal Pathology

Background:

  • Duodenal lipomas are uncommon submucosal tumors, typically asymptomatic and discovered incidentally.
  • Symptomatic presentations are rare, with bleeding being an exceptionally infrequent occurrence.

Observation:

  • A case of a polypoid duodenal lipoma presenting with active gastrointestinal bleeding is described.
  • The lesion's location and active bleeding necessitated a reassessment of the initial treatment strategy.

Findings:

  • Initial endoscopic treatment was planned but deemed insufficient due to the active bleeding.
  • Surgical intervention ultimately became necessary for the management of the bleeding duodenal lipoma.

Implications:

  • This case underscores the importance of considering surgical management for symptomatic or actively bleeding duodenal lipomas.
  • It highlights the potential limitations of endoscopic interventions in managing complex gastrointestinal submucosal tumors.
  • Accurate diagnosis and tailored treatment strategies are crucial for managing rare gastrointestinal lesions.