Obscure gastrointestinal bleeding from a large jejunal lipoma treated using an endoscopic unroofing technique with double balloon enteroscopy: a case study.
Reo KobayashiKen InoueRyohei HiroseToshifumi DoiAkihito HarusatoOsamu DohiNaohisa YoshidaKazuhiko UchiyamaTakeshi IshikawaTomohisa TakagiHiroaki YasudaHideyuki KonishiYukiko MorinagaYoshito ItohPublished in: Clinical journal of gastroenterology (2022)
Small intestinal lipomas are rare, but may cause obscure gastrointestinal bleeding. The endoscopic unroofing technique excises only the upper third of the lipoma and allows both histological confirmation and complete treatment with minimal risk of perforation. We present a rare case of obscure gastrointestinal bleeding caused by a jejunal lipoma. A 75-year-old man on antiplatelet therapy presented to our department with melena and anemia. Computed tomography revealed he had a 45-mm jejunal submucosal tumor with fat attenuation. Endoscopic resection using an endoscopic unroofing technique with double balloon enteroscopy was successfully performed. The tumor was confirmed to be a lipoma.
Keyphrases
- ultrasound guided
- antiplatelet therapy
- rare case
- computed tomography
- acute coronary syndrome
- percutaneous coronary intervention
- chronic kidney disease
- adipose tissue
- small bowel
- magnetic resonance imaging
- positron emission tomography
- coronary artery disease
- single cell
- iron deficiency
- smoking cessation
- pet ct
- dual energy
- replacement therapy