Abstract
A case of solitary small intestinal lipoma is described. A 66-year-old woman presented with nausea, vomiting, abdominal pain and massive melena. Barium follow through study showed a smooth, oval filling defect in the jejunum at 25 cm. beyond the ligament of Treitz (Figure 1). The fiberoptic examination of the jejunum revealed a pedunculated submucosal tumor with a superficial hemorrhagic erosion (Figure 2). Superior mesenteric arteriogram showed slightly increased vascularity surrounding the tumor, which was fed by its jejunal branch (Figure 3). At operation, approximately 7 cm. of the jejunum had intussuscepted distally with a soft mass forming the leading head of the intussusception. Pathological examination revealed a submucosal lipoma of the jejunum, measuring 3.5×2.0×2.0 cm., associated with multiple hemorrhagic erosions (Figure 4, 5 and 6). Benign small intestinal tumors are very uncommon. Reports presenting endoscopic and angiographic features of intestinal lipomas are extremely rare. A brief review of symptoms, complications, radiographic diagnosis and endoscopic features of small intestinal lipomas is given.
