Clin Endosc.  2020 Mar;53(2):236-240. 10.5946/ce.2019.035.

A Case of a Bleeding Duodenal Lipoma Successfully Controlled by Endoscopic Resection

  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 2Department of Pathology, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 3Department of Internal Medicine and Institute of Gastroenterology, National Health Insurance Service Ilsan Hospital, Goyang, Korea


This is a case report of successful endoscopic resection (ER) of a bleeding duodenal lipoma. An 85-year-old woman who was diagnosed with asymptomatic subepithelial tumor of the duodenum 3 years ago visited the emergency room with hematemesis and was admitted to our hospital. Emergent esophagogastroduodenoscopy revealed bleeding from an ulcer on the superior aspect of a subepithelial tumor measuring about 20 mm in diameter, at the superior duodenal angle. The ulcer was in the active stage (A1), with a visible vessel. The bleeding was controlled by ER of the tumor using a snare. The final pathological diagnosis was duodenal lipoma with mucosal ulceration. The patient showed no signs of bleeding for 10 days after the procedure; subsequently, she was discharged and followed up for regular checkups.


Lipoma of duodenum; Bleeding; Endoscopic resection
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