A unique case of massive gastrointestinal bleeding

Objectives: Lipomas are the second most common benign tumors of the small bowel, and most lipomas are asymptomatic. However, lipomas with diameters of >20 mm tend to be symptomatic, for example, to cause bleeding, obstructive jaundice, abdominal pain, intestinal obstruction, intussusception, and/...

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Bibliographic Details
Published inSAGE open medical case reports Vol. 5; p. 2050313X17700345
Main Authors Kida, Akihiko, Matsuda, Koichiro, Matsuda, Mitsuru, Sakai, Akito, Noda, Yatsugi
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.01.2017
Sage Publications Ltd
SAGE Publishing
Subjects
Case Report
Case reports
Intestinal obstruction
jejunal lipoma
Gastrointestinal bleeding
intussusception
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Summary:Objectives: Lipomas are the second most common benign tumors of the small bowel, and most lipomas are asymptomatic. However, lipomas with diameters of >20 mm tend to be symptomatic, for example, to cause bleeding, obstructive jaundice, abdominal pain, intestinal obstruction, intussusception, and/or perforation. Methods/Results: We report a case of massive gastrointestinal bleeding from a jejunal lipoma combined with intussusception. A preoperative diagnosis of gastrointestinal bleeding derived from a jejunal lipoma combined with intussusception was made based on double-balloon enteroscopy and contrast-enhanced computed tomography, and partial resection of the small intestine was performed. After surgery, there was no additional gastrointestinal bleeding. Conclusion: There have only been a few reports about cases of jejunal lipoma involving simultaneous bleeding and intussusception. Double-balloon enteroscopy is useful for preoperatively diagnosing bleeding from a lipoma. Our case highlights that jejunal lipoma can cause massive unexplained gastrointestinal bleeding.
ISSN:2050-313X
2050-313X
DOI:10.1177/2050313X17700345