Symptomatic duodenal lipoma with endoscopic snare polypectomy
İsmail Yaman1, Hayrullah Derici1, Serpil Paksoy2
1Department of General Surgery, Balıkesir University Faculty of Medicine, Balıkesir, Turkey
2Department of Pathology, Balıkesir University Faculty of Medicine, Balıkesir, Turkey
Abstract
Duodenal lipomas are extremely rare benign tumors. 90% arise from the submucosa and is usually localized in the second portion. They are usually asymptomatic and are detected incidentally during endoscopy or surgery. Appearance of symptoms are related to lesion size, those greater than four centimeters frequently may cause intussusception, obstruction or bleeding. A 59- year-old woman presented with complaints of abdominal fullness in the upper quadrants after meals, and heartburn symptoms. She had been under treatment for iron deficiency anemia during the last five months. The upper gastrointestinal endoscopy revealed a mobile, 4x2 cm polypoid mass extending from the second portion of the duodenum to the third portion, with a regular mucosa and wide pedicle. Saline and epinephrine was injected to polyp base and “snare” polypectomy was performed. Patient’s complaint of fullness in the upper part of the abdomen declined after polypectomy and the treatment of anemia was discontinued after a month, with normal blood count values in the fourth month.
Keywords: Endoscopy, lipoma, polyps, duodenum
Written informed consent was obtained from patient who participated in this case.
Externally peer-reviewed.
Concept - İ.Y.; Design - İ.Y.; Supervision - H.D.; Funding - İ.Y., H.D., S.P.; Materials - İ.Y., H.D., S.P.; Data Collection and/or Processing - İ.Y.; Analysis and/or Interpretation - İ.Y., H.D., S.P.; Literature Review - İ.Y., S.P.; Writer - İ.Y.; / Critical Review - H.D.; Other - İ.Y., H.D., S.P.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.