DUODENAL LIPOMA REMOVED BY ENDOSCOPIC POLYPECTOMY : REPORT OF FOUR CASES

Abstract

Four cases of duodenal lipoma removed by endoscopic polypectomy were reported. Age of the cases ranged from 64 to 75 with an average of 70.3. A ratio of male to female was 1 to 3. Location of the lesions was duodenal bulb in one case and 2nd portion of the duodenum in 3 cases. Most patients complained of vague abdominal symptoms. Upper G -I series showed an elevated lesion and endoscopic findings showed a submucosal tumor with yellowish smooth mucosal surfece. CT scan showed a round lesion with fatty density and EUS findings performed in 2 cases showed characteristic findings which consisted of a hyperechoic or isoechoic mass with an uniform internal echo. Thus, the diagnostic modality by combination of CT and EUS seems to be useful in making a differential diagnosis of lipoma from other submucosal lesions. Complication concerning endoscopic removal of duodenal lipoma has not been reported. In conclusion, endoscopic removal of duodenal lipoma seems to be an accurate and safety procedure, especially with double snare method.