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Duodenal lipoma causing intussusception.

B S Jennings1, R J Doerr

  • 1Department of Surgery, State University of New York at Buffalo.

Surgery
|April 1, 1989
PubMed
Summary
This summary is machine-generated.

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Duodenal lipomas, though rare, can cause intussusception. Diagnosis involves endoscopy and imaging, with treatment ranging from endoscopic removal to surgical excision for symptomatic cases.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Duodenal lipomas and duodenal intussusception are uncommon gastrointestinal conditions.
  • Lipomas are benign tumors of fatty tissue that can occur in the duodenum.

Observation:

  • A rare case of duodenal intussusception successfully treated, which was caused by an underlying duodenal lipoma.
  • The patient's condition was diagnosed using upper gastrointestinal series, computed tomographic scans, and endoscopic examination.

Findings:

  • Duodenal lipomas can be diagnosed through endoscopic and radiographic methods, including upper GI series and CT scans.
  • Duodenal intussusception, even when partial, presents with characteristic radiographic findings.
  • Symptomatic duodenal lipomas can be managed with endoscopic techniques like snare and cautery or surgical local excision via duodenotomy.

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Implications:

  • This case highlights the importance of considering duodenal lipomas as a cause of intussusception.
  • Accurate diagnosis through combined imaging and endoscopic modalities is crucial for effective management.
  • Treatment strategies should be tailored to the individual case, balancing endoscopic and surgical options.