ArticleCureus2026
Open Excision of a Broad-Based Duodenal Lipoma Not Amenable to Endoscopic Resection: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Duodenal lipomas are rare, benign, fat-containing submucosal tumors that are usually silent but can cause bleeding, obstruction, or intussusception once they exceed 2 cm. We report the case of a 40-year-old man with hypertension who presented with postprandial colicky abdominal pain, recurrent melena, and a 10-kg weight loss, having restricted himself to a pureed-food diet for three months. Endoscopy showed a 4-5 cm, broad-based polyp obstructing 75% of the duodenal lumen at the distal first/proximal second portion; forceps biopsy showed only hyperplastic mucosa. Endoscopic ultrasound (EUS) and CT demonstrated a homogeneous, fat-density submucosal mass consistent with lipoma. Given its size and broad base, endoscopic resection was considered unsafe, and the lesion was excised through duodenotomy, preserving the ampulla, bile and pancreatic ducts, and duodenal wall. Histopathology confirmed a submucosal lipoma. The patient recovered uneventfully, with resolution of anemia and symptoms. This report highlights the importance of individualized decision-making when a duodenal lipoma is not amenable to endoscopic resection.
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