Ulcerated Jejunal Lipoma Causing Gastrointestinal Bleeding: A Case Report.

Autor:	Almeida ML; Endoscopy, Hospital Nove de Julho, São Paulo, BRA., Costa M; Gastrointestinal Endoscopy, Hospital Nove de Julho, São Paulo, BRA., Bezerra Regueira T; Endoscopy, Hospital Nove de Julho, São Paulo, BRA., Prince Franzini T; Endoscopy, Hospital Nove de Julho, São Paulo, BRA., Secchi TF; Endoscopy, Hospital Nove de Julho, São Paulo, BRA., Oliveira RF; Endoscopy, Hospital Nove de Julho, São Paulo, BRA., Ferreira ALO; Endoscopy, Hospital Nove de Julho, São Paulo, BRA., Carpanetti I; Endoscopy, Hospital Nove de Julho, São Paulo, BRA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Nov 11; Vol. 16 (11), pp. e73446. Date of Electronic Publication: 2024 Nov 11 (Print Publication: 2024).
DOI:	10.7759/cureus.73446
Abstrakt:	Lipomas of the small intestine are rare and generally asymptomatic. However, they can present with obstructive symptoms or gastrointestinal bleeding that is difficult to localize. A 63-year-old female patient was admitted to the emergency department with a complaint of melena for four days. Endoscopy and colonoscopy were performed without any abnormalities. The patient showed no further externalization of symptoms and had a suspicion of intussusception on a CT scan. A capsule endoscopy was performed, revealing an elevated and ulcerated lesion in the proximal jejunum near the Treitz angle. An attempt at enteroscopy was made, but it was suspended due to gastric stasis. The patient developed obstructive symptoms and underwent exploratory laparotomy, which required enterectomy. The histopathological examination confirmed that the lesion was an ulcerated lipoma. Lipomas of the small intestine are rare and challenging to diagnose. The use of capsule endoscopy and enteroscopy allows for the diagnosis of these lesions, greater accuracy in localization, and, in some cases, treatment. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Almeida et al.)
Databáze:	MEDLINE
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