PMC6599446_01
(a) GD showed the 20-mm duodenal lipoma, (b) Duodenal lipoma was resected by ESD.
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Recently, she complained of abdominal pain, and after careful examination, EGD showed the 20-mm duodenal lipoma (Fig. 1a), and diffuse multiple lipoma (Fig. 2a) was found from the proximal jejunum to distal ileum in CT. The bleeding was stopped by a clip (Fig. 1b). The postoperative course was uneventful, and she started taking meals from postoperative day (POD) 2, and she were discharged on
(a) Diffuse multiple lipoma (allow) was found from the proximal jejunum to distal ileum in pre-operative CT.(b) No obvious recurrence or increase of lipoma have been observed in post-operative follow-up CT.
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To date, no obvious abdominal symptoms due to recurrence or increase of lipoma have been observed clinically or during follow-up (Fig. 2b).
Operation finding showed (a) the small intestine on the side of the mouth was overlaid with lipoma at the tip (allow), and (b) the intussusception was easily reduced by manual Hutchinson procedure.
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There was mild adhesion in the vicinity of the last anastomotic site of 120 cm from the terminal ileum, and the small intestine on the side of the mouth was overlaid with lipoma at the tip (Fig. 3a). The intussusception was easily reduced by manual Hutchinson procedure (Fig. 3b).
Schema of location of multiple GI lipomas.
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Treitz ligament to 90 cm of the oral side from the terminal ileum, and approximately 15 lipomas considered as >=10 mm were detected (Fig. 4). The maximum size was 43 mm and exceeded the serosa (Fig. 5).
Operation finding showed the maximum size was 43 mm and exceeded the serosa.
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Treitz ligament to 90 cm of the oral side from the terminal ileum, and approximately 15 lipomas considered as >=10 mm were detected (Fig. 4). The maximum size was 43 mm and exceeded the serosa (Fig. 5).