Giant duodenal lipoma: an unusual cause of gastrointestinal bleeding "case report"

Baiss, Marouane; Rahali, Anwar; Elmajdoubi, Hicham; Mdaghri, J.; Lahlou, K.; Mssrouri, R.; Benamr, S.; Settaf, Abdellatif

doi:10.11604/pamj.2021.38.342.28951

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…The most common site for lipomas within the GI tract is the large intestine, accounting for 64% of these lesions. In contrast, only 4% are found in the duodenum [2].…”

Section: Discussionmentioning

confidence: 88%

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Endoscopically resected duodenal lipoma as an uncommon cause of upper gastrointestinal bleeding: a case report

Joo,

Kim,

Lee

et al. 2024

Ewha Med J

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Subepithelial tumors in the upper gastrointestinal (GI) tract are often detected during nationwide endoscopic gastric cancer screening in Korea. Most GI lipomas are asymptomatic and do not necessitate further treatment. However, large tumors may lead to complications such as bowel obstruction, intussusception, and bleeding. These GI lipomas require endoscopic or surgical resection. On radiological examination, GI lipomas typically manifest as hypodense lesions with similar density to that of fat tissue. White-light endoscopy generally reveals a yellowish subepithelial tumor exhibiting a positive cushion sign, while endoscopic ultrasonography shows a homogeneous hypoechoic mass within the third layer of the GI tract. We present the case of an 81-year-old woman with symptomatic duodenal lipoma following endoscopic resection.

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“…The most common site for lipomas within the GI tract is the large intestine, accounting for 64% of these lesions. In contrast, only 4% are found in the duodenum [2].…”

Section: Discussionmentioning

confidence: 88%

“…One type, GI lipomas, constitute approximately 4% of all GI tumors. The colon is the most common site of these lipomas, with only about 4% found in the duodenum [2]. Since most GI lipomas are asymptomatic, they typically do not require further treatment.…”

Section: Introductionmentioning

confidence: 99%

Endoscopically resected duodenal lipoma as an uncommon cause of upper gastrointestinal bleeding: a case report

Joo,

Kim,

Lee

et al. 2024

Ewha Med J

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“…A case series reported by Chen et al of eight patients with a pathological diagnosis of DLs stated that all eight lesions appeared as intensive homogeneous hyperechoic lesions [ 9 ]. Moreover, EUS can provide valuable details concerning depth and invasion [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Duodenal Lipoma As Upper Gastrointestinal Bleeding Presentation: Case Report and Review of the Literature

Mousa¹,

Ghamdi²,

Alsolmi³

et al. 2023

Cureus

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Duodenal lipomas (DLs) are rare benign nonepithelial tumors that account for 4% of all gastrointestinal (GI) lipomas. DLs can occur in any part of the duodenum but most commonly arise in the second part of the duodenum. They are usually asymptomatic and discovered incidentally but may present with GI hemorrhage, bowel obstruction, or abdominal pain and discomfort. The diagnostic modalities can be based on radiological studies and endoscopy with the aid of endoscopic ultrasound (EUS). DLs can be managed either endoscopically or surgically. We report a case of symptomatic DL presenting with upper GI hemorrhage along with a review of the literature.We report a case of a 49-year-old female patient who presented with a one-week history of abdominal pain and melena. Upper endoscopy revealed a single, large pedunculated polyp with an ulcerated tip in the first part of the duodenum. EUS confirmed features suggestive of a lipoma, including an intense homogeneous hyperechoic mass originating from the submucosa. The patient underwent endoscopic resection, with excellent recovery.The rare occurrence of DLs requires a high index of suspicion and radiological endoscopic assessment to rule out invasion into the deeper layers. Endoscopic management is associated with good outcomes and a decreased risk of surgical complications.

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Giant duodenal lipoma: an unusual cause of gastrointestinal bleeding "case report"

Cited by 2 publications

References 5 publications

Endoscopically resected duodenal lipoma as an uncommon cause of upper gastrointestinal bleeding: a case report

Endoscopically resected duodenal lipoma as an uncommon cause of upper gastrointestinal bleeding: a case report

Duodenal Lipoma As Upper Gastrointestinal Bleeding Presentation: Case Report and Review of the Literature

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