Gwak Seo Yeon, Lee Mi Kyung, Lee Yong Kang
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Department of Pathology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Clin Endosc. 2020 Mar;53(2):236-240. doi: 10.5946/ce.2019.035. Epub 2019 Jul 24.
This is a case report of successful endoscopic resection (ER) of a bleeding duodenal lipoma. An 85-year-old woman who was diagnosed with asymptomatic subepithelial tumor of the duodenum 3 years ago visited the emergency room with hematemesis and was admitted to our hospital. Emergent esophagogastroduodenoscopy revealed bleeding from an ulcer on the superior aspect of a subepithelial tumor measuring about 20 mm in diameter, at the superior duodenal angle. The ulcer was in the active stage (A1), with a visible vessel. The bleeding was controlled by ER of the tumor using a snare. The final pathological diagnosis was duodenal lipoma with mucosal ulceration. The patient showed no signs of bleeding for 10 days after the procedure; subsequently, she was discharged and followed up for regular checkups.
这是一例成功通过内镜切除十二指肠出血性脂肪瘤的病例报告。一名85岁女性，3年前被诊断为无症状十二指肠上皮下肿瘤，因呕血就诊于急诊室并入住我院。急诊食管胃十二指肠镜检查发现，十二指肠上角处一个直径约20mm的上皮下肿瘤上缘有一处溃疡出血。溃疡处于活动期（A1），可见血管。通过圈套器对肿瘤进行内镜切除控制了出血。最终病理诊断为十二指肠脂肪瘤伴黏膜溃疡。术后患者10天内无出血迹象，随后出院并接受定期复查。
