Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : PE01 - PE04

Duodenal Lipomatosis as a Curious Cause of Upper Gastrointestinal Bleed: A Report with Review of Literature

Dinesh Zirpe, Majid Wani, Priyanka Tiwari, Papalaniswamy Kalipaipatti Ramaswamy, Reddy Prasanna Kumar

1. Senior Registrar, Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals (Main), Greams Road, Chennai, Tamilnadu, India. 2. Senior Registrar, Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals (Main), Greams Road, Chennai, Tamilnadu, India. 3. Senior Registrar, Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals (Main), Greams Road, Chennai, Tamilnadu, India. 4. Senior Consultant, Department of Medical Gastroenterology, Apollo Hospitals (Main), Greams Road, Chennai, Tamilnadu, India. 5. Senior Consultant, Department of Surgical Gastroenterology and Minimal Access Surgery, Apollo Hospitals (Main), Greams Road, Chennai, Tamilnadu, India.

Correspondence Address :
Dr. Dinesh Zirpe,
Senior Registrar, Department of Surgical Gastroenterology, Apollo Hospitals (Main), Greams Lane,
Off Greams Road, Chennai-600006, Tamilnadu, India.
Email: drdkzirpe@gmail.com

Abstract

Lipomas of the gastrointestinal tract are rare. Duodenal lipomas are incidental and mostly asymptomatic. Tumours may produce symptoms of abdominal pain and discomfort or cause bleeding due to ulceration or intestinal obstruction due to intussusception. We describe a 45-year-old man presenting in emergency with 3 days history of melena with normal gastroduodenoscopy and contrast enhanced computed tomography revealing multiple polypoid lesion in duodenum and proximal jejunum suggestive of lipoma. Due to ongoing bleed, he underwent laparotomy with duodenectomy and uneventful postoperative recovery. Our review of cases published in last 67 years indicate that duodenal lipomas are rare to occur but commonly found in second part, they may be seen in third and fourth part of duodenum which may be missed on endoscopy. They can be multiple and may present as severe UGI bleeding which could be managed surgically. Though CT is diagnostic, histopathology confirms the diagnosis which shows lipomatous lesion composed of mature adipose arranged in lobules.

Keywords

Bleeding, Duodenectomy, Lipoma, Melena

How to cite this article :

Dinesh Zirpe, Majid Wani, Priyanka Tiwari, Papalaniswamy Kalipaipatti Ramaswamy, Reddy Prasanna Kumar. DUODENAL LIPOMATOSIS AS A CURIOUS CAUSE OF UPPER GASTROINTESTINAL BLEED: A REPORT WITH REVIEW OF LITERATURE. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Apr 22 ]; 10:PE01-PE04. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=PE01-PE04&id=7881

DOI and Others

DOI: 10.7860/JCDR/2016/19851.7881

Date of Submission: Feb 29, 2016
Date of Peer Review: Apr 07, 2016
Date of Acceptance: Apr 15, 2016
Date of Publishing: May 01, 2016

Financial OR OTHER COMPETING INTERESTS: None.

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