Tags

Type your tag names separated by a space and hit enter

Duodenal Lipomatosis as a Curious Cause of Upper Gastrointestinal Bleed: A Report with Review of Literature.
J Clin Diagn Res. 2016 May; 10(5):PE01-4.JC

Abstract

Lipomas of the gastrointestinal tract are rare. Duodenal lipomas are incidental and mostly asymptomatic. Tumours may produce symptoms of abdominal pain and discomfort or cause bleeding due to ulceration or intestinal obstruction due to intussusception. We describe a 45-year-old man presenting in emergency with 3 days history of melena with normal gastroduodenoscopy and contrast enhanced computed tomography revealing multiple polypoid lesion in duodenum and proximal jejunum suggestive of lipoma. Due to ongoing bleed, he underwent laparotomy with duodenectomy and uneventful postoperative recovery. Our review of cases published in last 67 years indicate that duodenal lipomas are rare to occur but commonly found in second part, they may be seen in third and fourth part of duodenum which may be missed on endoscopy. They can be multiple and may present as severe UGI bleeding which could be managed surgically. Though CT is diagnostic, histopathology confirms the diagnosis which shows lipomatous lesion composed of mature adipose arranged in lobules.

Authors+Show Affiliations

Senior Registrar, Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals (Main) , Greams Road, Chennai, Tamilnadu, India .Senior Registrar, Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals (Main) , Greams Road, Chennai, Tamilnadu, India .Senior Registrar, Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals (Main) , Greams Road, Chennai, Tamilnadu, India .Senior Consultant, Department of Medical Gastroenterology, Apollo Hospitals (Main) , Greams Road, Chennai, Tamilnadu, India .Senior Consultant, Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals (Main) , Greams Road, Chennai, Tamilnadu, India .

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27437304

Citation

Zirpe, Dinesh, et al. "Duodenal Lipomatosis as a Curious Cause of Upper Gastrointestinal Bleed: a Report With Review of Literature." Journal of Clinical and Diagnostic Research : JCDR, vol. 10, no. 5, 2016, pp. PE01-4.
Zirpe D, Wani M, Tiwari P, et al. Duodenal Lipomatosis as a Curious Cause of Upper Gastrointestinal Bleed: A Report with Review of Literature. Journal of clinical and diagnostic research : JCDR. 2016;10(5):PE01-4.
Zirpe, D., Wani, M., Tiwari, P., Ramaswamy, P. K., & Kumar, R. P. (2016). Duodenal Lipomatosis as a Curious Cause of Upper Gastrointestinal Bleed: A Report with Review of Literature. Journal of Clinical and Diagnostic Research : JCDR, 10(5), PE01-4. https://doi.org/10.7860/JCDR/2016/19851.7881
Zirpe D, et al. Duodenal Lipomatosis as a Curious Cause of Upper Gastrointestinal Bleed: a Report With Review of Literature. Journal of clinical and diagnostic research : JCDR. 2016;10(5):PE01-4. PubMed PMID: 27437304.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Duodenal Lipomatosis as a Curious Cause of Upper Gastrointestinal Bleed: A Report with Review of Literature. AU - Zirpe,Dinesh, AU - Wani,Majid, AU - Tiwari,Priyanka, AU - Ramaswamy,Palaniswamy Kalipatti, AU - Kumar,Reddy Prasanna, Y1 - 2016/05/01/ PY - 2016/02/29/received PY - 2016/04/15/accepted PY - 2016/7/21/entrez PY - 2016/7/21/pubmed PY - 2016/7/21/medline KW - Bleeding KW - Duodenectomy KW - Lipoma KW - Melena SP - PE01 EP - 4 JF - Journal of clinical and diagnostic research : JCDR VL - 10 IS - 5 N2 - Lipomas of the gastrointestinal tract are rare. Duodenal lipomas are incidental and mostly asymptomatic. Tumours may produce symptoms of abdominal pain and discomfort or cause bleeding due to ulceration or intestinal obstruction due to intussusception. We describe a 45-year-old man presenting in emergency with 3 days history of melena with normal gastroduodenoscopy and contrast enhanced computed tomography revealing multiple polypoid lesion in duodenum and proximal jejunum suggestive of lipoma. Due to ongoing bleed, he underwent laparotomy with duodenectomy and uneventful postoperative recovery. Our review of cases published in last 67 years indicate that duodenal lipomas are rare to occur but commonly found in second part, they may be seen in third and fourth part of duodenum which may be missed on endoscopy. They can be multiple and may present as severe UGI bleeding which could be managed surgically. Though CT is diagnostic, histopathology confirms the diagnosis which shows lipomatous lesion composed of mature adipose arranged in lobules. SN - 2249-782X UR - https://www.unboundmedicine.com/medline/citation/27437304/Duodenal_Lipomatosis_as_a_Curious_Cause_of_Upper_Gastrointestinal_Bleed:_A_Report_with_Review_of_Literature_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/27437304/ DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.