Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
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Case Report

Volume 10, Number 2, April 2017, pages 149-152

Multiple Duodenal Lipomas as a Rare Cause of Upper Gastrointestinal Obstruction: Case Report and Literature Review

Figures

Figure 1.
Figure 1. CT scan shows hypodense lesions located from the descending part of the duodenum to the proximal jejunum, suggestive of lipomas.
Figure 2.
Figure 2. Panel (a) shows the lesions drop in signal on T1-weighted fat-suppressed image; panel (b) shows a well-demarcated, hyperintense mass on T1-weighted image (arrow).
Figure 3.
Figure 3. Panel (a) shows the macroscopic appearance of the duodenal lipoma with naked fat sign; panel (b) demonstrates pathological changes in the resected sample confirming the diagnosis of submucosa lipomas (H&E, × 400).

Table

Table 1. Review of Literature for the Duodenal Lipoma Presenting as Gastrointestinal Obstruction [1-12]
 
Case No.AuthorYearAge/sexLocationGrowthMaximum dimension in cmNumberManagement
-: unclear; F: female; M: male; D: duodenum; G: gastric; J: jejunum; PSD: pancreas-sparing duodenectomy.
1Kirkland and Boyer [1]195160/FD2Submucosal73Transduodenal resection cholecystectomy, T-tube was inserted into the common duct
2Duthie and Forrest [3]195768/FD2Submucosal51Biopsy, gastrojejunostomy
3Deeths et al [2]197550/FG, D1, D2, D3, D4Submucosal-MultipleTransduodenal resection
4Abu and Abu [4]198965/MD2Submucosal41Transduodenal resection
5McGrath et al [11]199112/MD2Submucosal101Transduodenal resection
6Lundell et al [8]200244/MD2, D3, D4, J--MultiplePSD
7Blanchet et al [12]200369/FD2-51Endoscopic resection
8Spalding et al [9]200771/FD3, D4Submucosal--Duodenectomy
9Abu and Abu [4]200853/FD2Subserosal41Laparoscopic enucleation
10Kovac et al [5]201265/MD1, D2Submucosal2.53Transduodenal resection
11Parmar et al [6]201343/FD1Submucosal, stretch to serosa61Laparoscopic excision
12Wichendu and Dodiyi-Manuel [10]201340/MD2, D3, D4, JSubmucosal-1Transduodenal resection
13Jayasundara et al [7]201643/FD2, D3, D4, JSubmucosal-MultipleSide-to-side jejunal bypass