Year 2025 / Volume 117 / Number 8
Digestive Diseases Image
Duodenal lipoma - An unusual finding, location and presentation

459-460

DOI: 10.17235/reed.2023.10087/2023

Isabel Tarrio, Alda João Andrade, Marta Moreira, Luís Lopes,

Abstract
An 82-year-old man was admitted for acute cholangitis. He presented with jaundice and elevated hepatic cholestasis enzymes and C-reactive protein. Abdominal ultrasound and CT scan showed no evidence of gallstones and the main bile duct had 6 mm of diameter. Broad-spectrum antibiotic therapy was initiated and the patient was referred for Endoscopic Retrograde Cholangiopancreatography. During duodenoscopy, a pedunculated subepithelial lesion, measuring approximately 20-30 mm, and suggestive of being a lipoma was found, obstructing the papillary orifice and preventing its access. It was then removed using a diathermic snare. Subsequent cholangiography confirmed the absence of gallstones or any other cause of biliary obstruction. Histopathological analysis confirmed that the lesion was a duodenal lipoma. The patient evolved favorably and had no subsequent episodes of jaundice or cholangitis during follow-up.
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Tarrio I, Andrade A, Moreira M, Lopes L. Duodenal lipoma - An unusual finding, location and presentation. 10087/2023


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Publication history

Received: 12/11/2023

Accepted: 24/11/2023

Online First: 14/12/2023

Published: 24/07/2025

Article Online First time: 32 days

Article editing time: 620 days


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