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[Duodenal lipoma causing intestinal subocclusion. Case report]

C Napolitano1, S Evrard, D Mutter

  • 1Université Louis Pasteur, Hôpital Civil, Strasbourg, France.

Minerva Chirurgica
|May 13, 1998
PubMed
Summary

Gastrointestinal lipomas are rare in the duodenum. This case study details the successful surgical removal of a duodenal lipoma in a 60-year-old woman presenting with epigastric pain.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Imaging

Background:

  • Duodenal lipomas are uncommon benign tumors of the gastrointestinal tract.
  • These tumors can occasionally cause significant complications, necessitating surgical intervention.
  • Early and accurate diagnosis is crucial for effective management.

Observation:

  • A 60-year-old female patient presented with a one-month history of epigastric pain.
  • Physical examination revealed only mild epigastric tenderness.
  • Computed Tomography (CT) scan demonstrated a well-defined lesion with characteristics of fatty density, enabling precise preoperative diagnosis.

Findings:

  • The patient underwent a transduodenotomic excision of the duodenal lipoma via a midline laparotomy.

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  • Histopathological examination of the excised mass confirmed the diagnosis of lipoma.
  • The surgical approach allowed for complete tumor removal and resolution of symptoms.

    • Implications:

    • This case highlights the importance of considering rare gastrointestinal lipomas in the differential diagnosis of epigastric pain.
    • Surgical excision remains a viable and effective treatment for symptomatic duodenal lipomas.
    • Accurate preoperative imaging, such as CT scan, aids in surgical planning and improves patient outcomes.