AI Article Synopsis
- - Small bowel bleeding is increasingly diagnosed due to advances in capsule endoscopy, which can identify issues not visible through other methods.
- - An 80-year-old woman on hemodialysis and antiplatelet therapy experienced hematochezia caused by a lipoma, which was detected via capsule endoscopy after other diagnostic methods failed.
- - Surgical resection of the lipoma was successful without complications, suggesting that this approach can be safe for patients with similar health conditions.
Article 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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324242 | PMC |
| http://dx.doi.org/10.1159/000540074 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!