Diagnosis and Treatment of Duodenal Lipoma: A Systematic Review and a Case Report
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 7
Abstract
Introduction: Duodenal lipoma is very rare with limited case reports present in literature. Owing to recent advances in endoscopy and modern imaging techniques, more cases are being diagnosed and treated. However, no systematic study of duodenal lipomas has been reported. Aim: To study the diagnosis and treatment of duodenal lipoma in a female patient and review the relative literatures to enhance the knowledge of it. Materials and Methods: A literature search for ‘duodenal lipoma’ was performed on PubMed. Papers published from 1948 to 2016 in the English language were identified. Each article was then read in detail and analysed for clinical data, imaging features, diagnosis and therapy. Also, we hereby present a case of upper gastrointestinal obstruction secondary to multiple duodenal lipomas in a 67-year-old woman. The patient underwent a limited bowel resection with an uneventful recovery. Results: Literature review demonstrated 59 cases of duodenal lipoma, which indicate that duodenal lipomas are rare to occur but commonly found in the second part. The peak of incidence seems to be around the fifth and seventh decade of life. Duodenal lipomas may present as gastrointestinal bleeding, abdominal pain, obstruction or upper abdominal fullness. CT, MRI, Endoscopic Ultrasound (EUS), endoscopy are highly accurate diagnostic tools. The disease could be managed by endoscopy or surgery. Conclusion: Our review of literature indicated duodenal lipoma is extremely rare. The symptoms are nonspecific and CT is the first choice for diagnosis. The treatment depends on the patient’s condition as well as the size and position of the tumour
Authors and Affiliations
Mao Wei Pei, Ming Rong Hu, Wen Bin Chen, Chao Qin
Keywords
Related Articles
- EP ID EP355688
- DOI 10.7860/JCDR/2017/27748.10322
- Views 71
- Downloads 0
Categorization and Management of Various Types of C-Shaped Canals: Two Case Reports
This case report presents the categorization and management of two cases of C-shaped canals in need of root canal treatment, based on the available classification systems. The prediction of C-shaped root canal morphology...
Assessing the Impact of a Structured Tuberculosis Training Activity on the Knowledge and Attitude of Community Volunteers
ABSTRACT Introduction: With the paucity of health workforce for Tuberculosis (TB) in India a cadre of trained community volunteers can effectively contribute to the prevention and control of TB in a particular community....
Prevalence of blaCTX-M, blaCTX-M-2, blaCTX-M-8, blaCTX-M-25 and blaCTX-M-3 Genes in Escherichia coli Isolated from Urinary Tract Infection in Kermanshah City, Iran
ABSTRACT Introduction: Urinary Tract Infection (UTI) is one of the most common bacterial infections and Escherichia coli is the most common organism that causes UTI. However, the incidence of community acquired UTI cause...
The Expanding Spectrum of Zika Virus Transmission: A Systematic Review
Introduction: Large numbers of confirmed Zika Virus (ZIKV) infections have been reported as a result of vector-borne and non-vector-borne transmission. With a recent ZIKV outbreak, several methods of transmission have be...
Assessment of Insulin Resistance in Ultrasonographically Diagnosed Cases of Non-Alcoholic Fatty Liver Disease
ABSTRACT Introduction: Non-Alcoholic Fatty Liver Disease (NAFLD) is the excessive accumulation of fat primarily in form of triacylglycerols in more than 5% of the hepatocytes without significant consumption of alcohol an...