Jejunal lipoma complicated with small bowel bleeding

Abstract Text We present a 53-year-old man with melena for 3-4 days. Gastroscopy and colonoscopy did not found any alterations and endoscopic capsule showed in the proximal jejunum an ulcerated submucosal lesion of 15-20 mm. A push enteroscopy with colonoscope was performed, identifying in the proximal jejunum a 20 mm nodular lesion with a fibrinous ulcer with yellowish borders (which we have denominated as the "inverted fried egg sign"), tattooing its location. General Surgery was contacted and the lesion was resected. The anatomopathological study finally reported an ulcerated lipoma. Small bowel lipomas are generally asymptomatic benign tumors, although when their size is>2 cm they can cause complications, mainly intussusception and gastrointestinal bleeding due to ulceration/necrosis, complications usually associated with malignant tumors. [1] [2] [3]

Publikationsverlauf

Artikel online veröffentlicht:
15. April 2024

• References

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• 2 Cuciureanu T, Huiban L, Chiriac S, Singeap AM, Danciu M, Mihai F. et al. Ulcerated intussuscepted jejunal lipoma-uncommon cause of obscure gastrointestinal bleeding: A case report. World J Clin Cases 2019; 7 (22) 3765-3771
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