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
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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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
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Yamagishi, Shunsuke
Kang, Woodae
Shindate, Masataka
Matsuno, Yoritaka
Yoshida, Masahiro
Kochi, Mitsugu
- DOI
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10.1159/000540074
- URN
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urn:nbn:de:101:1-2412260022192.302049509949
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:35 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Yamagishi, Shunsuke
- Kang, Woodae
- Shindate, Masataka
- Matsuno, Yoritaka
- Yoshida, Masahiro
- Kochi, Mitsugu