INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.927 |
Resumo: | The digestive tract is an uncommon location for lipomas, but when present, they usually have their origin in the submucosa. Rarely, they can cause hemorrhage, intestinal obstruction and perforation. We report a case of a 79 year-old male presenting in the Emergency Department complaining of abdominal pain and vomiting for 2 days. Abdominal plain radiography was suggestive of intestinal obstruction. Computed tomography showed a jejunal obstruction. Laparotomy was performed and a mobile intra-luminal mass was identified and removed. Histology reported a submucosal lipoma. Submucosal lipomas are rare intestinal lesions. They most often occur on the colon, but can be present in any location of the gut. Lipomas can be sessile or pedunculated lesions and complications are mostly associated with lesions greater than 2cm. Surgical treatment can be an option. |
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INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMAOBSTRUÇÃO INTESTINAL POR LIPOMA INTESTINAL SUBMUCOSOThe digestive tract is an uncommon location for lipomas, but when present, they usually have their origin in the submucosa. Rarely, they can cause hemorrhage, intestinal obstruction and perforation. We report a case of a 79 year-old male presenting in the Emergency Department complaining of abdominal pain and vomiting for 2 days. Abdominal plain radiography was suggestive of intestinal obstruction. Computed tomography showed a jejunal obstruction. Laparotomy was performed and a mobile intra-luminal mass was identified and removed. Histology reported a submucosal lipoma. Submucosal lipomas are rare intestinal lesions. They most often occur on the colon, but can be present in any location of the gut. Lipomas can be sessile or pedunculated lesions and complications are mostly associated with lesions greater than 2cm. Surgical treatment can be an option.O tracto gastrointestinal é uma localização pouco frequente de lipomas mas, quando presentes, têm maioritariamente origem na submucosa. Raramente são causa de hemorragia, oclusão intestinal e perforação. Apresentamos o caso clínico de um doente do género masculino, com 79 anos, que recorreu ao Serviço de Urgência por quadro clínico caracterizado por dor abdominal e vómitos com 2 dias de evolução. A radiografia abdominal foi compatível com quadro de oclusão intestinal. A tomografia computorizada revelou uma obstrução jejunal. Foi submetido a laparotomia exploradora, tendo-se constatado uma massa intra-luminal que foi removida por enterotomia. O diagnóstico histológico foi de lipoma submucoso. Os lipomas submucosos são lesões intestinais raras que ocorrem maioritariamente no cólon, mas podem surgir em qualquer localização do tracto gastrointestinal. Os lipomas podem ser lesões sésseis ou pediculadas e as complicações ocorrem mais frequentemente em lesões de dimensões superiores a 2cm. O tratamento cirúrgico é uma opção.Sociedade Portuguesa de Cirurgia2023-06-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.927https://doi.org/10.34635/rpc.927Revista Portuguesa de Cirurgia; No 55 (2023): June; 61-64Revista Portuguesa de Cirurgia; No 55 (2023): June; 61-642183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/927https://revista.spcir.com/index.php/spcir/article/view/927/682Copyright (c) 2023 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessSANTOS, Daniel CostaGAMEIRO, HugoSILVA, AlbertoDEUS, AnaGRILO, JoãoMARTINS, José Augusto2024-03-14T22:05:26Zoai:revista.spcir.com:article/927Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:54.518702Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA OBSTRUÇÃO INTESTINAL POR LIPOMA INTESTINAL SUBMUCOSO |
title |
INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA |
spellingShingle |
INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA SANTOS, Daniel Costa |
title_short |
INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA |
title_full |
INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA |
title_fullStr |
INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA |
title_full_unstemmed |
INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA |
title_sort |
INTESTINAL OBSTRUCTION WITH SUBMUCOSAL BOWEL LIPOMA |
author |
SANTOS, Daniel Costa |
author_facet |
SANTOS, Daniel Costa GAMEIRO, Hugo SILVA, Alberto DEUS, Ana GRILO, João MARTINS, José Augusto |
author_role |
author |
author2 |
GAMEIRO, Hugo SILVA, Alberto DEUS, Ana GRILO, João MARTINS, José Augusto |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
SANTOS, Daniel Costa GAMEIRO, Hugo SILVA, Alberto DEUS, Ana GRILO, João MARTINS, José Augusto |
description |
The digestive tract is an uncommon location for lipomas, but when present, they usually have their origin in the submucosa. Rarely, they can cause hemorrhage, intestinal obstruction and perforation. We report a case of a 79 year-old male presenting in the Emergency Department complaining of abdominal pain and vomiting for 2 days. Abdominal plain radiography was suggestive of intestinal obstruction. Computed tomography showed a jejunal obstruction. Laparotomy was performed and a mobile intra-luminal mass was identified and removed. Histology reported a submucosal lipoma. Submucosal lipomas are rare intestinal lesions. They most often occur on the colon, but can be present in any location of the gut. Lipomas can be sessile or pedunculated lesions and complications are mostly associated with lesions greater than 2cm. Surgical treatment can be an option. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-23 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.927 https://doi.org/10.34635/rpc.927 |
url |
https://doi.org/10.34635/rpc.927 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/927 https://revista.spcir.com/index.php/spcir/article/view/927/682 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 55 (2023): June; 61-64 Revista Portuguesa de Cirurgia; No 55 (2023): June; 61-64 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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