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Case Reports
. 2013 Jul;19(2):79-81.
doi: 10.4103/1117-6806.119239.

Gastric outlet obstruction from duodenal lipoma in an adult

Promise N Wichendu  1 , Amabra Dodiyi-Manuel  1
Affiliations
Case Reports

Gastric outlet obstruction from duodenal lipoma in an adult

Promise N Wichendu et al. Niger J Surg. 2013 Jul.

Abstract

The duodenum is a rare site for gastrointestinal lipoma with less than 230 cases reported in the literature. Although, peptic ulcer disease remains the most common benign cause of gastric outlet obstruction (GOO), duodenal lipomas remain a rare, but possible cause of GOO and could pose a diagnostic challenge, especially in countries where access to endoscopy and modern imaging techniques poses a challenge. The authors present a case of GOO in a 40-year-old male, secondary to a duodenal lipoma. It was successfully treated by a transduodenal resection through a midline laparotomy. The histology report confirmed it was a submucosal lipoma.

Keywords: Duodenotomy; lipoma; obstruction.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Pre-operative barium meal showing the extrinsic pressure effect
Figure 2
Figure 2
Excised submucous lipoma showing naked fat sign
See this image and copyright information in PMC

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