An Unusual Cause of Gastrointestinal Bleeding: Duodenal Lipoma

Kadaba, Raghu; Bowers, Kathleen; Wijesuriya, N.; Preston, Sean; Bray, G.B.; Kocher, Hemant M.

doi:10.1159/000327219

Cited by 13 publications

(17 citation statements)

References 8 publications

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“…A study that involved 1200 duodenoscopies, reported only 2 patients with duodenal lipoma (7). They are usually asymptomatic and are discovered incidentally during endoscopy or surgery (1,2,6,8). Symptoms are generally related to the size of lipomas, and dyspepsia, epigastric fullness after meals, intestinal obstruction, or iron deficiency anemia due to occult or massive hemorrhage can be observed especially in duodenal lipomas larger than four centimeters (3,(7)(8)(9).…”

Section: Discussionmentioning

confidence: 99%

“…As the lipoma grows, the traction force of the intestinal content and peristaltic movement may cause erosion and ulceration of the mucosa, and can create a pedicle (4). Although endoscopic view supports the diagnosis, it is generally insufficient in making a definitive diagnosis since the tumor is submucosal, and forceps biopsies are generally inadequate for similar reasons (3,(6)(7)(8)(9). The definitive diagnosis is made after tumor excision and histopathologic examination (8).…”

Section: Discussionmentioning

confidence: 99%

“…Although endoscopic view supports the diagnosis, it is generally insufficient in making a definitive diagnosis since the tumor is submucosal, and forceps biopsies are generally inadequate for similar reasons (3,(6)(7)(8)(9). The definitive diagnosis is made after tumor excision and histopathologic examination (8). Computed tomography, magnetic resonance imaging and/or endoscopic ultrasonography can be used before tumor excision (4,6).…”

Section: Discussionmentioning

confidence: 99%

“…Although endoscopic features support the diagnosis, appearance and superficial endoscopic forceps biopsies are not sufficient for a definitive diagnosis due to their submucosal location (3,(6)(7)(8). Computer tomography, magnetic resonance imaging and endoscopic ultrasonography can provide important information for differential diagnosis (4,5,8).…”

Section: Introductionmentioning

confidence: 99%

“…Symptomatic duodenal lipomas require treatment and the current treatment of choice is endoscopic resection (1,2,4,7,8). "Snare" polypectomy can be safely used in lipomas that have not grown extensively or those with a pedicle (2,7).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Symptomatic duodenal lipoma with endoscopic snare polypectomy

Yaman

Derıcı

Paksoy

2014

UCD

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Duodenal lipomas are extremely rare benign tumors. 90% arise from the submucosa and is usually localized in the second portion. They are usually asymptomatic and are detected incidentally during endoscopy or surgery. Appearance of symptoms are related to lesion size, those greater than four centimeters frequently may cause intussusception, obstruction or bleeding. A 59-year-old woman presented with complaints of abdominal fullness in the upper quadrants after meals, and heartburn symptoms. She had been under treatment for iron deficiency anemia during the last five months. The upper gastrointestinal endoscopy revealed a mobile, 4x2 cm polypoid mass extending from the second portion of the duodenum to the third portion, with a regular mucosa and wide pedicle. Saline and epinephrine was injected to polyp base and "snare" polypectomy was performed. Patient's complaint of fullness in the upper part of the abdomen declined after polypectomy and the treatment of anemia was discontinued after a month, with normal blood count values in the fourth month.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Symptomatic duodenal lipoma with endoscopic snare polypectomy

Yaman

Derıcı

Paksoy

2014

UCD

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Duodenal lipoma: robotic-assisted approach

Alghanemi¹,

Tekin²

2023

Journal of Surgical Case Reports

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Lipomas are one of the most common benign tumors of the gastrointestinal tract, typically found in the small and large intestine. While most cases are asymptomatic and discovered incidentally, large duodenal lipomas are rare and present a unique set of diagnostic and management challenges due to their complex anatomic relationships with other vital structures. Endoscopic removal of large lipomas carries a risk of bleeding and can be difficult to access. To address these issues, robotic-assisted surgical approaches have been proposed as a viable alternative to laparoscopy, as demonstrated in this case.

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The vanishing duodenal polyp: mesenteric invagination presenting as duodenal pseudopolyp

Bakker

Phoa

Kara³

et al. 2017

BMJ Case Reports

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Duodenal polypoid masses are an uncommon finding mainly diagnosed incidentally at endoscopy or surgery. We report a 39-year-old female patient with symptoms of intermittent stabbing pain in the upper right abdominal quadrant and an iron deficiency anaemia, without complaints of weight loss, haematemesis or melaena. A duodenal polyp and acute duodenitis have been described during endoscopic examinations and CT and ultrasound. Surgical excision of the polyp was advised. Intraoperatively, an elongated duodenum was remarkable; however, at duodenotomy, no polyp was found, nor during intraoperative endoscopy. Looking back at the endoscopy and imaging results, it was noted that the polyp varied in size and location. It was therefore concluded that we dealt with the pseudopolyp phenomenon, caused by invagination of the duodenal wall and its mesentery into the duodenum, presenting as a lipomatous pseudopolyp. Telescopic invagination of the duodenal wall was facilitated by the elongated hypermobile duodenum.

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An Unusual Cause of Gastrointestinal Bleeding: Duodenal Lipoma

Cited by 13 publications

References 8 publications

Symptomatic duodenal lipoma with endoscopic snare polypectomy

Symptomatic duodenal lipoma with endoscopic snare polypectomy

Duodenal lipoma: robotic-assisted approach

The vanishing duodenal polyp: mesenteric invagination presenting as duodenal pseudopolyp

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