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Case Reports
. 2023 Feb;16(1):32-38.
doi: 10.1007/s12328-022-01724-3. Epub 2022 Nov 11.

Obscure gastrointestinal bleeding from a large jejunal lipoma treated using an endoscopic unroofing technique with double balloon enteroscopy: a case study

Reo Kobayashi  1 , Ken Inoue  2 , Ryohei Hirose  1 , Toshifumi Doi  1 , Akihito Harusato  1 , Osamu Dohi  1 , Naohisa Yoshida  1 , Kazuhiko Uchiyama  1 , Takeshi Ishikawa  1 , Tomohisa Takagi  1 , Hiroaki Yasuda  1 , Hideyuki Konishi  1 , Yukiko Morinaga  3 , Yoshito Itoh  1
Affiliations
Case Reports

Obscure gastrointestinal bleeding from a large jejunal lipoma treated using an endoscopic unroofing technique with double balloon enteroscopy: a case study

Reo Kobayashi et al. Clin J Gastroenterol. 2023 Feb.

Abstract

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.

Keywords: Double balloon enteroscopy; Endoscopic unroofing technique; Jejunum; Lipoma.

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References

    1. Otani K, Watanabe T, Shimada S, et al. Clinical utility of capsule endoscopy and double-balloon enteroscopy in the management of obscure gastrointestinal bleeding. Digestion. 2018;97:52–8. - DOI
    1. Pennazio M, Eisen G, Goldfarb N. ICCE consensus for obscure gastrointestinal bleeding. Endoscopy. 2005;37:1046–50. - DOI
    1. Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol. 1997;92:419–24.
    1. Mayo CW, Pagtaliman RJG, Brown DJ. Lipoma of the alimentary tract. Surgery. 1963;53:598–603.
    1. Nicholas F, Joshua W, Jordan B, et al. A systematic review of symptomatic small bowel lipomas of the jejunum and ileum. Ann of Med Surg. 2020;58:52–67. - DOI

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