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Obscure gastrointestinal bleeding caused by small intestinal lipoma: a case report.
J Med Case Rep. 2016 Aug 12; 10(1):226.JM

Abstract

BACKGROUND

Small intestinal lipomas are rare, usually asymptomatic, and most commonly encountered incidentally during investigation of the gastrointestinal tract for another reason. However, they may cause obscure gastrointestinal bleeding.

CASE PRESENTATION

We report a case of obscure gastrointestinal bleeding due to a small intestinal lipoma. A 69-year-old Japanese man on antiplatelet therapy presented to our department with tarry stools and anemic symptoms. A small intestinal tumor was detected by capsule endoscopy and double-balloon endoscopy. After laparoscopic resection, the tumor was confirmed to be a lipoma.

CONCLUSIONS

Small intestinal lipomas are difficult to detect by conventional modalities, but capsule endoscopy and double-balloon endoscopy are good modalities for the diagnosis of small intestinal lipomas. Treatment of small intestinal lipomas should be selected carefully, considering the tumor size, size of stalk, administration of antithrombotic therapy, and endoscopic operability.

Authors+Show Affiliations

Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan. psyro@juntendo.ac.jp.Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.Department of Human Pathology, Juntendo University, School of Medicine, Tokyo, Japan.Department of Gastroenterology, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27520963

Citation

Yatagai, Noboru, et al. "Obscure Gastrointestinal Bleeding Caused By Small Intestinal Lipoma: a Case Report." Journal of Medical Case Reports, vol. 10, no. 1, 2016, p. 226.
Yatagai N, Ueyama H, Shibuya T, et al. Obscure gastrointestinal bleeding caused by small intestinal lipoma: a case report. J Med Case Rep. 2016;10(1):226.
Yatagai, N., Ueyama, H., Shibuya, T., Haga, K., Takahashi, M., Nomura, O., Sakamoto, N., Osada, T., Yao, T., & Watanabe, S. (2016). Obscure gastrointestinal bleeding caused by small intestinal lipoma: a case report. Journal of Medical Case Reports, 10(1), 226. https://doi.org/10.1186/s13256-016-1014-4
Yatagai N, et al. Obscure Gastrointestinal Bleeding Caused By Small Intestinal Lipoma: a Case Report. J Med Case Rep. 2016 Aug 12;10(1):226. PubMed PMID: 27520963.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Obscure gastrointestinal bleeding caused by small intestinal lipoma: a case report. AU - Yatagai,Noboru, AU - Ueyama,Hiroya, AU - Shibuya,Tomoyoshi, AU - Haga,Keiichi, AU - Takahashi,Masahito, AU - Nomura,Osamu, AU - Sakamoto,Naoto, AU - Osada,Taro, AU - Yao,Takashi, AU - Watanabe,Sumio, Y1 - 2016/08/12/ PY - 2016/03/01/received PY - 2016/07/24/accepted PY - 2016/8/14/entrez PY - 2016/8/16/pubmed PY - 2017/5/18/medline KW - Capsule endoscopy KW - Case report KW - Double-balloon endoscopy KW - Lipoma KW - Obscure gastrointestinal bleeding KW - Small intestine SP - 226 EP - 226 JF - Journal of medical case reports JO - J Med Case Rep VL - 10 IS - 1 N2 - BACKGROUND: Small intestinal lipomas are rare, usually asymptomatic, and most commonly encountered incidentally during investigation of the gastrointestinal tract for another reason. However, they may cause obscure gastrointestinal bleeding. CASE PRESENTATION: We report a case of obscure gastrointestinal bleeding due to a small intestinal lipoma. A 69-year-old Japanese man on antiplatelet therapy presented to our department with tarry stools and anemic symptoms. A small intestinal tumor was detected by capsule endoscopy and double-balloon endoscopy. After laparoscopic resection, the tumor was confirmed to be a lipoma. CONCLUSIONS: Small intestinal lipomas are difficult to detect by conventional modalities, but capsule endoscopy and double-balloon endoscopy are good modalities for the diagnosis of small intestinal lipomas. Treatment of small intestinal lipomas should be selected carefully, considering the tumor size, size of stalk, administration of antithrombotic therapy, and endoscopic operability. SN - 1752-1947 UR - https://www.unboundmedicine.com/medline/citation/27520963/Obscure_gastrointestinal_bleeding_caused_by_small_intestinal_lipoma:_a_case_report_ L2 - https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-016-1014-4 DB - PRIME DP - Unbound Medicine ER -