%0 Case Reports
%T Small Bowel Bleeding Caused by a Small Bowel Lipoma in a Patient with Hemodialysis.
%A Yamagishi S
%A Kang W
%A Shindate M
%A Matsuno Y
%A Yoshida M
%A Kochi M
%J Case Rep Gastroenterol
%V 18
%N 1
%D 2024 Jan-Dec
%M 39144818
暂无%R 10.1159/000540074
%X <B>UNASSIGNED: </B>Small bowel bleeding is being diagnosed with increasing frequency with the development of capsule endoscopy.<BR><B>UNASSIGNED: </B>We report a case of lipoma that caused hematochezia in an 80-year-old woman with ischemic heart disease receiving antiplatelet therapy and on hemodialysis for renal failure. Contrast-enhanced computed tomography scans, esophagogastroduodenoscopy, and colonoscopy failed to identify the source of hematochezia. Capsule endoscopy revealed a small bowel tumor, which was removed through laparoscopic surgery without interruption of antiplatelet agents. The small bowel tumor was pathologically diagnosed as a lipoma. There was no recurrence of the hematochezia after surgery.<BR><B>UNASSIGNED: </B>Lipomas could cause hematochezia. With appropriate preoperative testing, comorbidity assessment, and surgical planning, we believe that surgical resection is a safe treatment option for the removal of small bowel lipomas even in patients who are on hemodialysis or are taking antiplatelet agents.