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

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.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Small Bowel Bleeding Caused by a Small Bowel Lipoma in a Patient with Hemodialysis ; volume:18 ; number:1 ; year:2024 ; pages:373-378 ; extent:6
Case reports in gastroenterology ; 18, Heft 1 (2024), 373-378 (gesamt 6)

Creator
Yamagishi, Shunsuke
Kang, Woodae
Shindate, Masataka
Matsuno, Yoritaka
Yoshida, Masahiro
Kochi, Mitsugu

DOI
10.1159/000540074
URN
urn:nbn:de:101:1-2412260022192.302049509949
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:35 AM CEST

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Associated

  • Yamagishi, Shunsuke
  • Kang, Woodae
  • Shindate, Masataka
  • Matsuno, Yoritaka
  • Yoshida, Masahiro
  • Kochi, Mitsugu

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