Spontaneous peeled ileal giant lipoma caused by lower gastrointestinal bleeding: A case report
- Authors
- Kim, Jung Ho; Yoon, Hyun Hwa; Jeong, Seok Hoo; Woo, Hyun Sun; Lee, Won-Suk; Choi, Seung Joon; Kim, Seog Gyun; Ha, Seung Yeon; Kwon, Kwang An
- Issue Date
- Dec-2017
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- gastrointestinal bleeding; lipoma; small intestine; subepithelial lesions; terminal ileum
- Citation
- MEDICINE, v.96, no.51
- Journal Title
- MEDICINE
- Volume
- 96
- Number
- 51
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5447
- DOI
- 10.1097/MD.0000000000009253
- ISSN
- 0025-7974
- Abstract
- Rationale:Gastrointestinal subepithelial tumors (SETs) with endoscopic features such as ulceration, a red color change, a peeled mucosal layer, and spontaneous bleeding could have malignant potential. However, we encountered a case of a lipoma that presented features different from the generally known features of gastrointestinal SETs. Therefore, we report an interesting rare case of a terminal ileal giant lipoma with a unique feature of spontaneous peeled ulceration on the surface on endoscopy that caused gastrointestinal bleeding.Patient:An 82-year-old woman with a 1-week history of abdominal pain and hematochezia presented to our hospital.Diagnoses:Ileocolonoscopy revealed a SET with a peeled surface and erythematous and ulcerative mucosal changes as well as exposed a submucosal mass at the terminal ileum. Macroscopically, the lesion appeared as a yellowish pedunculated polypoid mass measuring 3x2cm with a peeled mucosal ulceration. Histopathological findings revealed a submucosal lipoma of the terminal ileum.Intervention:We thought that the endoscopic finding indicated malignant SETs or those with malignant potential rather than benign SETs. Therefore, the patient underwent an elective laparoscopic ileocecectomy.Lessons:We encountered a lipoma that did not present with the typical features of gastrointestinal SETs. Our findings suggest that clinicians should consider that benign SETs in the terminal ileum may present with various endoscopic findings similar to those of malignant SETs, which can cause fatal symptoms and signs.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의예과 > 1. Journal Articles
- 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5447)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.