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Ulcerated Jejunal Lipoma Causing Gastrointestinal Bleeding: A Case Report
Maria L Almeida1, Marcus Costa2, Tatiana Bezerra Regueira1
1Endoscopy, Hospital Nove de Julho, São Paulo, BRA.
Cureus
|December 13, 2024
Summary
Small intestinal lipomas are rare tumors that can cause bleeding or obstruction. Capsule endoscopy and enteroscopy aid in diagnosing these challenging lesions, improving localization and treatment.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Small intestinal lipomas are uncommon benign tumors.
- They often present asymptomatically but can cause significant gastrointestinal bleeding or obstruction.
Observation:
- A 63-year-old female presented with melena, initially negative on standard endoscopy and colonoscopy.
- CT scan suggested intussusception; capsule endoscopy revealed an ulcerated jejunal lesion.
- Enteroscopy was attempted but halted due to gastric stasis.
Findings:
- Histopathology confirmed an ulcerated lipoma of the proximal jejunum.
- The lesion caused intussusception and obstructive symptoms requiring surgical resection.
Implications:
- Capsule endoscopy and enteroscopy are valuable tools for diagnosing and localizing small bowel lipomas.
- Early diagnosis and intervention can prevent complications like intussusception and bleeding.
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