Korean J Gastrointest Endosc.  2005 Aug;31(2):126-129.

A Case of Duodenal Lipoma with Upper Gastrointesinal Bleeding

• Park JB
• Park SW
• Yang YS
• Lee HS
• Yoon BG
• Lee CG
• Kim SY

Abstract

Duodenal lipoma is relatively rare, and usually located in the second portion of the duodenum. Most lipomas of the small intestine are asymptomatic and incidentally found. However, epigastric pain, intussusception, ulcer, intestinal obstruction and rarely severe hemorrhage can occur depending on the size or location. Duodenal lipoma is mostly confirmed by surgical removal with histopathologic valuation because it is difficult to make a differential diagnosis of duodenal lipoma from malignant tumor or other submucosal tumor based only on the findings of radiology or endoscopy. Endoscopic ultrasonography can so help for the differential diagnosis of the submucosal tumor. We report a case of duodenal lipoma accompanied by upper gastrointesinal hemorrhage, treated by both endoscopic resection and surgical operation and confirmed by histopathologic diagnosis.

Keyword

Duodenum; Lipoma; Hemorrhage

MeSH Terms

Diagnosis
Diagnosis, Differential
Duodenum
Endoscopy
Endosonography
Hemorrhage*
Intestinal Obstruction
Intestine, Small
Intussusception
Lipoma*
Ulcer