| Autor: |
Yamagishi, Shunsuke, Kang, Woodae, Shindate, Masataka, Matsuno, Yoritaka, Yoshida, Masahiro, Kochi, Mitsugu |
| Zdroj: |
Case Reports in Gastroenterology; January 2024, Vol. 18 Issue: 1 p373-378, 6p |
| Abstrakt: |
Introduction:Small bowel bleeding is being diagnosed with increasing frequency with the development of capsule endoscopy. Case Presentation:We report a case of lipoma that caused hematochezia in an 80-year-old woman with ischemic heart disease receiving antiplatelet therapy and on hemodialysis for renal failure. Contrast-enhanced computed tomography scans, esophagogastroduodenoscopy, and colonoscopy failed to identify the source of hematochezia. Capsule endoscopy revealed a small bowel tumor, which was removed through laparoscopic surgery without interruption of antiplatelet agents. The small bowel tumor was pathologically diagnosed as a lipoma. There was no recurrence of the hematochezia after surgery. Conclusion:Lipomas could cause hematochezia. With appropriate preoperative testing, comorbidity assessment, and surgical planning, we believe that surgical resection is a safe treatment option for the removal of small bowel lipomas even in patients who are on hemodialysis or are taking antiplatelet agents. |
| Databáze: |
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