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A Case of a Giant Lipoma of the Duodenal Bulb
Author(s) -
OGATA Tatsuro,
SHIMIZU Ichiro,
HORIE Takahiro,
OSHIMA Takashi,
MIHARA Miyuki,
YAMASHITA Masatoshi,
OZAKI Yuji,
YAMAMOTO Koji,
IUCHI Arata,
YATA Seigo,
TADATSU Masaya,
OKITA Yoshio,
MUGURUMA Naoki,
OKAHISA Toshiya,
OKAMURA Seisuke,
ITO Susumu
Publication year - 1999
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1999.tb00021.x
Subject(s) - duodenal bulb , medicine , lipoma , duodenum , submucosa , echogenicity , lumen (anatomy) , laparotomy , endoscopy , abdomen , bloody , intussusception (medical disorder) , duodenal diseases , anatomy , radiology , gastroenterology , surgery , ultrasound
We describe a 58‐year‐old male whose major complaint was epigastric pain. A pediculate mass located in the anterior wall of the duodenal bulb and extending into the descending portion of the duodenum was noted on endoscopy of the upper digestive tract. The mass nearly completely occupied the duodenal lumen and was covered by normal mucosa with a tiny ulcer. Ultrasound endoscopy showed a nearly homogeneous hyperechoic pattern localized in the submucosa, and abdominal CT showed fatty density, suggesting a lipoma. The mass was resected by laparotomy, because it was large and extended to near the duodenal papillae. The tumor measured 55X35X30 mm and was histologically confirmed to be a lipoma which had originated in the submucosa. Giant duodenal lipomas more than 50 mm in maximum diameter have only been reported in 5 cases in Japan including our present case and 9 cases abroad, but some differences were observed in the description of the Japanese cases versus the non‐Japanese cases, such as the fact that the non‐Japanses cases often presented with severe symptoms such as bloody stools and intussusception.