Kadaba R, Bowers K A, Wijesuriya N, Preston S L, Bray G B, Kocher H M
Barts and The London HPB Centre, The Royal London Hospital, London, UK.
Case Rep Gastroenterol. 2011 Apr 13;5(1):183-8. doi: 10.1159/000327219.
Common causes of chronic upper gastrointestinal bleeding include oesophageal varices, gastroduodenal ulcers and malignancy, and patients mostly present with iron deficiency type anaemia. We present the case of a 60-year-old lady who presented with iron deficiency anaemia and on investigation was found to have a large duodenal polyp requiring surgical excision. On histological examination, the polyp was revealed to be a lipoma. We review the recent literature and formulate a management plan for this rare entity.
慢性上消化道出血的常见原因包括食管静脉曲张、胃十二指肠溃疡和恶性肿瘤,患者大多表现为缺铁性贫血。我们报告一例60岁女性患者,该患者表现为缺铁性贫血,经检查发现有一个需要手术切除的巨大十二指肠息肉。组织学检查显示该息肉为脂肪瘤。我们回顾了近期文献并制定了针对这一罕见病症的管理方案。