| 상부위장관 출혈을 동반한 십이지장 지방종 1예 |
| 박재범·박상원·양윤석·이호섭·윤병구·이창구·김선영* |
| 울산동강병원 내과, *병리과 |
| A Case of Duodenal Lipoma with Upper Gastrointesinal Bleeding |
| Jae Bum Park, M.D., Sang Won Park, M.D., Yun Sok Yang, M.D., Ho Sup Lee, M.D.,Byung Gu Yoon, M.D., Chang Goo Lee, M.D. and Sun Young Kim, M.D.* |
| Departments of Internal Medicine and *Pathology, Dongkang Hospital, Ulsan, Korea |
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| Abstract |
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Duodenal lipoma is relatively rare, and usually located in the second portion of the duodenum. Most lipomas of the small intestine are asymptomatic and incidentally found. However, epigastric pain, intussusception, ulcer, intestinal obstruction and rarely severe hemorrhage can occur depending on the size or location. Duodenal lipoma is mostly confirmed by surgical removal with histopathologic valuation because it is difficult to make a differential diagnosis of duodenal lipoma from malignant tumor or other submucosal tumor based only on the findings of radiology or endoscopy. Endoscopic ultrasonography can so help for the differential diagnosis of the submucosal tumor. We report a case of duodenal lipoma accompanied by upper gastrointesinal hemorrhage, treated by both endoscopic resection and surgical operation and confirmed by histopathologic diagnosis. (Korean J Gastrointest Endosc 2005;31:126129) |
| Key Words:
Duodenum, Lipoma, Hemorrhage |
| 주요어:
십이지장, 지방종, 출혈 |
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