Role of computed tomography and endoscopy in the management of alimentary tract lipomas.

Kang, Jin Yong; Chan-Wilde, C; Wee, Alvin; Chew, Renny; Ti, Thiow Kong

doi:10.1136/gut.31.5.550

Cited by 21 publications

(14 citation statements)

References 5 publications

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“…Esophageal lipomas have been reported in patients between the ages of 4 and 80 years old, with a mean age of 50 [2,6]. Usually, esophageal lipomas originate in the cervical and upper thoracic esophagus [2].…”

Section: Discussionmentioning

confidence: 99%

Gigantinės stemplės lipomos komplikuotas chirurginis gydymas: klinikinis atvejis

Katinaitė¹,

Jagelavičius²,

Kybartas³

et al. 2017

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BackgroundLipomas are distinctly uncommon benign tumours of the esophagus. Lipoma and other benign tumours should be consid ered for patients admitted to the hospital with nonspecific complaints of upper gastrointestinal tract disease. Radiological and endoscopic suspicion of a tumour with benign histology and correct preoperative histological diagnosis are important factors in order to choose the best surgical treatment option. Case report A 59yearold woman was admitted with dysphagia lasting for about 1.5 months. Endoscopy and computed tomography scan revealed intraluminal pedunculated submucosal mass, 13 cm in length and 2 cm in diameter, -67 Hounsfield units in density, suggesting esophageal lipoma to be the most likely diagnosis. Tumour was excised through right lateral thoracotomy with esophagotomy. Barium esophagogram in the postoperative period showed esophageal leakage, hence rethoracotomy was performed and the defect was attempted to close by sutures. Repeated barium esophagogram revealed persisting evidences of esophageal leakage so biodegradable coated 10 cm in length and 31/25/31 mm in diameter SXELLA stent was used and successfully sealed the leakage. Conclusion Giant esophageal lipoma is a rare benign esophageal tumour causing dysphagia. Open surgery is the best treatment option for giant esophageal lipomas. However, postoperative complications such as esophageal leakage are common in patients after open esophageal surgery. Biodegradable stent could be successfully used dealing with persistent esophageal leakage. Key words: dysphagia, esophageal lipoma, esophagotomy, mediastinitis, esophagopleural fistula. J . K a t i n a i t ė , Ž . J a g e l a v i č i u s , A . K y b a r t a s , V . G r u s l y s , R . J a n i l i o n i s ĮžangaLipoma -retas nepiktybinis stemplės navikas. Tiriant pacientus dėl nespecifinių viršutinio virškinamojo trakto ligos simptomų, reikėtų nepamiršti nepiktybinių stemplės navikų. Vaizdiniais tyrimais įtartas nepiktybinis stemplės navikas ir tiksliai nustatyta histologinė diagnozė priešoperaciniu laikotarpiu yra svarbūs veiksniai pasirenkant tinkamiausią gydymo metodą bei siekiant išvengti sudėtingesnių chirurginių procedūrų. Klinikinis atvejisMoteris, 59 metų amžiaus, buvo paguldyta į chirurgijos skyrių dėl disfagijos, trunkančios apie 1,5 mėnesio. Endoskopiškai įtartas stemplės pogleivio navikas. Atlikus krūtinės ląstos kompiuterinės tomografijos tyrimą rastas 13 cm ilgio ir 2 cm pločio, -67 Houn sfieldo vienetų tankio intraluminalinis pogleivio darinys ant kojytės. Radiologiškai labiausiai tikėtina diagnozė buvo stemplės li poma. Navikas pašalintas atlikus ezofagotomiją per dešinės pusės torakotominį pjūvį. Pooperaciniu laikotarpiu atlikta kontrastinė ezofagograma parodė stemplės nesandarumo požymius. Buvo atlikta retorakotomija ir stemplės defektas užsiūtas. Kartotinis ra diologinis stemplės tyrimas parodė, kad stemplės nesandarumas išliko. Tuomet į stemplę buvo implantuotas biodegraduojantis SXELLA dengtas 10 cm ilgio, 31/25/31 mm išorinio skersmens stentas, kuriuo defek...

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Section: Discussionmentioning

confidence: 99%

Gigantinės stemplės lipomos komplikuotas chirurginis gydymas: klinikinis atvejis

Katinaitė¹,

Jagelavičius²,

Kybartas³

et al. 2017

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“…A tomografia computadorizada permite identificar a diferença de densidade dos tecidos e essa propriedade é utilizada no diagnóstico dos lipomas, que apresentam densidade menor que os tecidos circunjacentes 15,16,25 . A densidade gordurosa do lipoma é uniforme, determinando aparência homogênea (baixo valor de unidades Hounsfield), que o diferencia de outros tumores colorretais 25 .…”

Section: O Número De Lipomas Colorretais Constatado Emunclassified

“…A densidade gordurosa do lipoma é uniforme, determinando aparência homogênea (baixo valor de unidades Hounsfield), que o diferencia de outros tumores colorretais 25 . A principal dificuldade diagnóstica, mesmo com técnica apropriada, consiste em reconhecer lipomas menores que 1cm de diâmetro 10 .…”

Section: O Número De Lipomas Colorretais Constatado Emunclassified

“…No entanto, a repetição das biópsias no mesmo local pode, ao romper sua cápsula, deixar extravasar tecido gorduroso através da mucosa lesionada. Este sinal da gordura descoberta (naked fat signal) é considerado por alguns como patognomônico para o reconhecimento dos lipomas 16,19,25 . Nos lipomas pediculados, eventualmente, o pedúnculo pode conter vários componentes da parede intestinal ali invaginados, e a polipectomia endoscópica, nesses casos, causaria uma perfuração intestinal, com suas graves conseqüências, se não diagnosticadas em tempo 27 .…”

Section: O Número De Lipomas Colorretais Constatado Emunclassified

See 1 more Smart Citation

Lipomas colorretais: correlação anatomoclínica de 29 casos

Bromberg

Zampieri

Cavalcanti

et al. 1997

Rev. Assoc. Med. Bras.

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“…The treatment of large symptomatic gastric lipomas has not yet been established [10] . Actual imaging technologies and endoscopy have become new approaches to the management of gastric lipomas [9][10][11][12] . We present a case of a large symptomatic subserosal gastric lipoma which was successfully managed with removal, enucleation of lipoma, explorative gastrotomy and edge resection for histology check of gastric wall.…”

Section: Introductionmentioning

confidence: 99%

Symptomatic subserosal gastric lipoma successfully treated with enucleation

Krasniqi¹,

Hoxha²,

Bicaj³

et al. 2008

WJG

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Gastric lipomas are rare tumors, accounting for 2%-3% of all benign gastric tumors. They are of submucosal or extremely rare subserosal origin. Although most gastric lipomas are usually detected incidentally, they can cause abdominal pain, dyspeptic disorders, obstruction, invagination, and hemorrhages. Subserosal gastric lipomas are rarely symptomatic. There is no report on treatment of subserosal gastric lipomas in the English literature. We present a case of a 50-year-old male with symptomatic subserosal gastric lipoma which was successfully managed with removal, enucleation of lipoma, explorative gastrotomy and edge resection for histology check of gastric wall. The incidence of gastric lipoma, advanced diagnostic possibilities and their role in treatment modalities are discussed.

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Role of computed tomography and endoscopy in the management of alimentary tract lipomas.

Cited by 21 publications

References 5 publications

Gigantinės stemplės lipomos komplikuotas chirurginis gydymas: klinikinis atvejis

Gigantinės stemplės lipomos komplikuotas chirurginis gydymas: klinikinis atvejis

Lipomas colorretais: correlação anatomoclínica de 29 casos

Symptomatic subserosal gastric lipoma successfully treated with enucleation

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