A Case of Lipoma of the Ileum With Massive Bleeding Identified by Laparoscopy and Resected by Laparoscopy-Assisted Surgery

Sato, Harunobu; Fujisaki, Masato; Takahashi, Takayuki; Tiba, Youhei; Maruta, M.; Maeda, Koutarou

doi:10.3919/jjsa.64.883

Cited by 2 publications

(1 citation statement)

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“…Thus, laparoscopic resection of the small intestine usually reduces the hospital stay, with economic benefits, as reported by Park et al 13 We found five reports describing the laparoscopic resection of ileal lipoma (Table 1). [13][14][15][16][17] Because the tumor in our patient was relatively small, we were able to reduce the intussusception easily by gently pulling the intestine across the intussusception. Fumimoto et al 14 reported reducing an intussusception by using the Hutchinson technique.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Resection of an Ileal Lipoma: Report of a Case

et al. 2006

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A 63-year-old woman was admitted to our hospital for investigation of upper abdominal pain and vomiting. Ultrasonography (US) showed a hyperechoic mass in the right lower abdomen, and computed tomography (CT) showed a low-density mass and intestinal invagination. Thus, we made a diagnosis of intestinal lipoma with intussusception and performed laparoscopic partial resection of the ileum, including the tumor. The resected specimen contained a round tumor, 25 x 22 x 20 mm, which was identified as an intestinal lipoma histopathologically. Our experience supports earlier reports that US and CT are effective tools in the diagnosis of bowel lipoma. Laparoscopic surgery is the treatment of choice for benign tumors of the small intestine because it is minimally invasive, with cosmetic, physical, and economic benefits.

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