A case of hemorrhagic duodenal lipoma with melena

Abstract

A 75-year-old male presented with epigastric discomfort and melena 2 days after undergoing intracoronary stenting. Upper gastrointestinal endoscopy revealed a soft submucosal tumor with ulceration in the second portion of the duodenum. Computed tomography (CT) scan showed a dense fat mass in the second portion of the duodenum which led to the preoperative diagnosis of lipoma. Endoscopic resection posed a high risk of bleeding because the patient was on anticoagulation therapy ; therefore, we performed tumor resection under laparotomy. The tumor was 40×16×12 mm in size, and its histopathological diagnosis was lipoma.