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Successful Endoscopic Submucosal Dissection of a Large Terminal Ileal Lipoma

A 78-year-old woman who had recurrent right lower abdominal pain for about 1 year underwent computed tomography (CT) because of a follow-up observation 1 year after right breast cancer surgery. CT revealed a tumor in the colon. The patient was referred to our hospital for detailed examinations. An a...

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Autores principales: Noda, Hisatsugu, Ogasawara, Naotaka, Tamura, Yasuhiro, Kondo, Yoshihiro, Izawa, Shinya, Ebi, Masahide, Funaki, Yasushi, Sasaki, Makoto, Kasugai, Kunio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091281/
https://www.ncbi.nlm.nih.gov/pubmed/27843426
http://dx.doi.org/10.1159/000448886
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author Noda, Hisatsugu
Ogasawara, Naotaka
Tamura, Yasuhiro
Kondo, Yoshihiro
Izawa, Shinya
Ebi, Masahide
Funaki, Yasushi
Sasaki, Makoto
Kasugai, Kunio
author_facet Noda, Hisatsugu
Ogasawara, Naotaka
Tamura, Yasuhiro
Kondo, Yoshihiro
Izawa, Shinya
Ebi, Masahide
Funaki, Yasushi
Sasaki, Makoto
Kasugai, Kunio
author_sort Noda, Hisatsugu
collection PubMed
description A 78-year-old woman who had recurrent right lower abdominal pain for about 1 year underwent computed tomography (CT) because of a follow-up observation 1 year after right breast cancer surgery. CT revealed a tumor in the colon. The patient was referred to our hospital for detailed examinations. An abdominal CT showed a low-density tumor of approximately 30 mm in the ascending colon, and the CT density inside the tumor was same as that of fatty tissues. A subsequent colonoscopy showed a submucosal tumor (SMT) in the proximal ascending colon developing from the terminal ileum. A colonoscopic ultrasonography revealed that the SMT was a high-echoic mass mainly localized in the submucosal layer. Based on the findings from CT, colonoscopy, and colonoscopic ultrasonography, the SMT was diagnosed as a pedunculated lipoma originating from the terminal ileum and treated with endoscopic submucosal dissection (ESD) because of recurrent abdominal pain. The 40-mm tumor was resected en bloc without complications. ESD may be more appropriate than polypectomy and surgery for removal of small intestinal tumors, because ESD allows direct visualization of the cutting line and exactly dissects the submucosal layers without damaging the muscular layers. ESD is a potentially useful treatment to remove intestinal lipomas.
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spelling pubmed-50912812016-11-14 Successful Endoscopic Submucosal Dissection of a Large Terminal Ileal Lipoma Noda, Hisatsugu Ogasawara, Naotaka Tamura, Yasuhiro Kondo, Yoshihiro Izawa, Shinya Ebi, Masahide Funaki, Yasushi Sasaki, Makoto Kasugai, Kunio Case Rep Gastroenterol Single Case A 78-year-old woman who had recurrent right lower abdominal pain for about 1 year underwent computed tomography (CT) because of a follow-up observation 1 year after right breast cancer surgery. CT revealed a tumor in the colon. The patient was referred to our hospital for detailed examinations. An abdominal CT showed a low-density tumor of approximately 30 mm in the ascending colon, and the CT density inside the tumor was same as that of fatty tissues. A subsequent colonoscopy showed a submucosal tumor (SMT) in the proximal ascending colon developing from the terminal ileum. A colonoscopic ultrasonography revealed that the SMT was a high-echoic mass mainly localized in the submucosal layer. Based on the findings from CT, colonoscopy, and colonoscopic ultrasonography, the SMT was diagnosed as a pedunculated lipoma originating from the terminal ileum and treated with endoscopic submucosal dissection (ESD) because of recurrent abdominal pain. The 40-mm tumor was resected en bloc without complications. ESD may be more appropriate than polypectomy and surgery for removal of small intestinal tumors, because ESD allows direct visualization of the cutting line and exactly dissects the submucosal layers without damaging the muscular layers. ESD is a potentially useful treatment to remove intestinal lipomas. S. Karger AG 2016-10-06 /pmc/articles/PMC5091281/ /pubmed/27843426 http://dx.doi.org/10.1159/000448886 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case
Noda, Hisatsugu
Ogasawara, Naotaka
Tamura, Yasuhiro
Kondo, Yoshihiro
Izawa, Shinya
Ebi, Masahide
Funaki, Yasushi
Sasaki, Makoto
Kasugai, Kunio
Successful Endoscopic Submucosal Dissection of a Large Terminal Ileal Lipoma
title Successful Endoscopic Submucosal Dissection of a Large Terminal Ileal Lipoma
title_full Successful Endoscopic Submucosal Dissection of a Large Terminal Ileal Lipoma
title_fullStr Successful Endoscopic Submucosal Dissection of a Large Terminal Ileal Lipoma
title_full_unstemmed Successful Endoscopic Submucosal Dissection of a Large Terminal Ileal Lipoma
title_short Successful Endoscopic Submucosal Dissection of a Large Terminal Ileal Lipoma
title_sort successful endoscopic submucosal dissection of a large terminal ileal lipoma
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091281/
https://www.ncbi.nlm.nih.gov/pubmed/27843426
http://dx.doi.org/10.1159/000448886
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