Large ileocecal submucosal lipoma presenting as hematochezia, a case report and review of literature

Chehade, Hiba Hassan El Hage; Zbibo, Riad; Nasreddine, Walid; Abtar, Houssam Khodor

doi:10.1016/j.ijscr.2015.03.007

Cited by 17 publications

(11 citation statements)

References 16 publications

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“…1 The most common age is in the fifth to sixth decades of life for the colon, with both cases being outside the standard age group. For the small intestine, the predominant age group is from the sixth to the seventh decades 8,9 , and in this case, the patient described is in this range.…”

Section: Discussionmentioning

confidence: 81%

Causa incomum de abdome agudo na sala de emergência: lipoma intestinal - série de casos e revisão de literatura

Lira

Gonçalves

Moreira

et al. 2021

Rev. Med. (São Paulo)

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Os lipomas são lesões benignas formadas por células gordurosas adultas e circundadas por cápsula fibrosa. Esses tumores podem ser assintomáticos ou apresentar-se com uma variedade de sintomas, podendo evoluir como uma emergência cirúrgica ou serem erroneamente diagnosticados como doença maligna. Assim, descrevemos três casos de pacientes diagnosticados com lipomas gastrointestinais (um caso de intestino delgado, um caso de ceco, e o terceiro de sigmoide) após início de quadro clínico sugestivo de abdome agudo, os dois primeiros casos foram inicialmente abordados por via laparoscópica e posteriormente a ressecção e anastomose foram realizadas por vias extracorpóreas, através de uma incisão de Pfannenstiel. O terceiro caso teve abordagem laparotômica. O estudo foi observacional e retrospectivo com análise de prontuários médicos. Os lipomas do trato gastrointestinal são raros, porém devem ser lembrados como diagnóstico diferencial, principalmente nos pacientes que apresentam quadro de dor abdominal aguda, geralmente compatível com abdome aguda obstrutivo.

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Section: Discussionmentioning

confidence: 81%

Causa incomum de abdome agudo na sala de emergência: lipoma intestinal - série de casos e revisão de literatura

Lira

Gonçalves

Moreira

et al. 2021

Rev. Med. (São Paulo)

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“…Particularly, intestinal ischemia and necrosis, inflammatory bowel disease, gastric ulcer, digestive tract expansion, nephropyelitis, cholangitis, pancreatitis, intra-abdominal abscess, ovarian abscess, and iatrogenic causes (such as endoscopic surgery [4]), are all correlated with HPVG. Moreover, a post-operative patient with HPVG of no identifiable cause has also been reported [5]. However, HPVG complicated by appendicitis is seldom reported in relevant literatures.…”

Section: Discussionmentioning

confidence: 99%

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review

Chen

Fang

et al. 2019

BMC Surg

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BackgroundHepatic portal vein gas (HPVG) is a rare acute abdomen, which is not an independent disease. Meanwhile, HPVG combined with appendicitis has been rarely reported. We found only a similar report by looking for literature, but no intestinal necrosis occurred. We report a patient with HPVG, appendicitis and intestinal necrosis was reported in the current study. The patient was given frequent monitoring and had been conducted operation in time.Case presentationAn 86-year-old female with appendicitis complicated by HPVG was reported in the present study. Abdominal examination revealed rebound tenderness at the McBurney’s point. Moreover, abdominal computed tomography (CT) revealed gas in portal and mesenteric veins in addition to appendicitis. An emergency operation was planned on the appendix. However, the patient refused surgical treatment. Therefore, conservative treatment of antibiotics and frequent imaging observation was conducted for this patient. Although imaging results suggested disappeared gas in intra- and extra-hepatic portal veins, the small intestine was dilated, after conservative treatment of antibiotics. In addition, signs of diffused peritonitis could also be observed and an exploratory laparotomy was performed. Intra-operative findings had confirmed suppurated appendix, mesenteric ischemia and small intestinal necrosis.ConclusionsFrequent monitoring benefits us in observing the progress of intestinal diseases. When there exist other possible causes of HPVG such as infection, it is not easy for us to ignore the possibility of intestinal necrosis.

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“…The differential diagnosis is liposarcoma, which has a high recurrence rate. However, as abdominal ultrasonography and magnetic resonance imaging may show typical findings [ 3 – 5 ], it is difficult to diagnose exactly in an emergency case. In the case of an emergency surgery, like the one presented here, complete removal of the mass is important.…”

Section: Discussionmentioning

confidence: 99%

A small intestine volvulus caused by strangulation of a mesenteric lipoma: a case report

Kakiuchi¹,

Mashima²,

Hori³

et al. 2017

J Med Case Reports

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BackgroundAn emergency department encounters a variety of cases, including rare cases of the strangulation of a mesenteric lipoma by the greater omentum band.Case presentationA 67-year-old Japanese man presented with nausea, vomiting, and upper abdominal pain. There were no abnormalities detected by routine blood tests other than a slight rise in his white cell count. A contrast-enhanced computed tomography scan of his abdomen revealed a dilated intestine, a small intestine volvulus, and a well-capsulated homogeneous mass. He was suspected of having a small intestine volvulus that was affected by a mesenteric lipoma; therefore, single-port laparoscopic surgery was performed. Laparoscopy revealed a small intestine volvulus secondary to the strangulation of a mesenteric lipoma. The band and tumor were removed. He had no postoperative complications and was discharged on postoperative day 6.ConclusionsAlthough this case was an emergency, it showed that single-port laparoscopic surgery can be a safe, useful, and efficacious procedure.

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Large ileocecal submucosal lipoma presenting as hematochezia, a case report and review of literature

Cited by 17 publications

References 16 publications

Causa incomum de abdome agudo na sala de emergência: lipoma intestinal - série de casos e revisão de literatura

Causa incomum de abdome agudo na sala de emergência: lipoma intestinal - série de casos e revisão de literatura

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review

A small intestine volvulus caused by strangulation of a mesenteric lipoma: a case report

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