Small Bowel Bleeding Caused by a Small Bowel Lipoma in a Patient with Hemodialysis

Overview

Journal Case Rep Gastroenterol

Publisher Karger

Specialty Gastroenterology

Date 2024 Aug 15

PMID 39144818

Authors

Shunsuke Yamagishi

Woodae Kang

Masataka Shindate

Yoritaka Matsuno

Masahiro Yoshida

Mitsugu Kochi

Affiliations

Soon will be listed here.

Abstract

Introduction: Small bowel bleeding is being diagnosed with increasing frequency with the development of capsule endoscopy.

Case Presentation: We report a case of lipoma that caused hematochezia in an 80-year-old woman with ischemic heart disease receiving antiplatelet therapy and on hemodialysis for renal failure. Contrast-enhanced computed tomography scans, esophagogastroduodenoscopy, and colonoscopy failed to identify the source of hematochezia. Capsule endoscopy revealed a small bowel tumor, which was removed through laparoscopic surgery without interruption of antiplatelet agents. The small bowel tumor was pathologically diagnosed as a lipoma. There was no recurrence of the hematochezia after surgery.

Conclusion: Lipomas could cause hematochezia. With appropriate preoperative testing, comorbidity assessment, and surgical planning, we believe that surgical resection is a safe treatment option for the removal of small bowel lipomas even in patients who are on hemodialysis or are taking antiplatelet agents.

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