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Canadian Journal of Gastroenterology
Volume 4, Issue 4, Pages 147-150
http://dx.doi.org/10.1155/1990/172834
Brief Communication

Duodenal Lipoma - Report of Two Cases and Review of the Literature

Jeremy Goldberg, Stewart M Hamilton, RD Cherry, RW Sherbaniuk, and Laurence D Jewell

Departments of Pathology, Surgery, and Medicine (Gastroenterology), University of Alberta, Edmonton, Alberta, Canada

Received 31 July 1989; Accepted 12 December 1989

Copyright © 1990 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diagnostic upper gastrointestinal endoscopy has increased the frequency with which duodenal lipomas are encountered in clinical practice. Although the smaller lesions are usually incidental endoscopic findings unrelated to symptoms, an accurate diagnosis depends upon biopsy and histological assessment Larger lesions may bleed or obstruct. The authors present two cases: one lipoma was found incidentally during the investigation of an esophageal motility disorder; the other larger one presented as a mass lesion in a patient with upper gastrointestinal bleeding. Pathological findings suggested that the lipoma was the cause of the bleeding. Management is briefly discussed.