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

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY Case Reports in Gastroenterology Pub Date : 2024-07-25 eCollection Date: 2024-01-01 DOI:10.1159/000540074

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

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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.

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血液透析患者小肠脂肪瘤引发的小肠出血。

导言：随着胶囊内镜的发展，诊断小肠出血的频率越来越高：随着胶囊内镜的发展，诊断小肠出血的频率越来越高：我们报告了一例脂肪瘤引起的血性便血病例，患者是一名 80 岁的女性，患有缺血性心脏病，正在接受抗血小板治疗，并因肾功能衰竭而进行血液透析。对比增强计算机断层扫描、食管胃十二指肠镜检查和结肠镜检查均未能确定血便的来源。胶囊内镜检查发现了一个小肠肿瘤，通过腹腔镜手术将其切除，没有中断抗血小板药物治疗。小肠肿瘤经病理诊断为脂肪瘤。结论：脂肪瘤可导致血尿：结论：脂肪瘤可导致血性便血。通过适当的术前检查、合并症评估和手术规划，我们认为手术切除是切除小肠脂肪瘤的安全治疗方案，即使是正在进行血液透析或服用抗血小板药物的患者也不例外。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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