2019 Volume 61 Issue 9 Pages 1650-1655
A 60-year-old male with tarry stools and shortness of breath was admitted to our hospital. Upper gastrointestinal endoscopy revealed a sub-pedunculated submucosal tumor with ulceration and blood clotting in the duodenal bulb. Endoscopic hemostatic clipping was unsuccessful due to mobility of the tumor, but hemostasis was achieved using a ligating device of endoscopic variceal ligation (EVL). Endoscopic ultrasonography showed an echogenic mass, supporting the diagnosis of a duodenal lipoma. Endoscopic resection of the tumor was performed to prevent further bleeding. The tumor was 25×16×18mm in size, and the pathological diagnosis was lipoma. EVL was useful for hemostasis of a hemorrhagic duodenal lipoma.
