Lipoma of the Stomach Prolapsing into the Duodenal Bulb and Causing a Duodenal Ulcer: A Case Report

Tateki Yamane, Akihiko Takeda, Takayuki Ishii, Toshio Morisane

.

DOI: 10.4236/ijcm.2011.24075                

Abstract

We report a case of lipoma in the antum of the stomach which prolapsed into the duodenal bulb and caused a duodenal ulcer, speculated to have been induced by the friction of its top against the duodenal mucosa. Although the ulcer healed after the administration of a proton pump inhibitor, the symptom of epigastric discomfort continued, suggested to be due to prolapsing. Therefore, a laparoscopic operation was conducted. The incidence of lipoma of the stomach is rare, and cases of its prolapse into the duodenum are very few. Furthermore, it is extremely rare for it to cause a duodenal ulcer. Because these features made this case clinically interesting, we report it here.

Keywords

Gastric Lipoma, Prolapse, Duodenal Ulcer

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	C. W. Mayo, R. J. G. Pagtalunan and D. J. Brown, “Lipoma of the Alimentary Tract,” Surgery, Vol. 53, 1963, PP. 598-603.
[2]	H. Kozawa, K. Momma, M. Yoshida, et al., “Endoscopic Diagnosis of Gastrointestinal Submucosal Tumor Differential Diagnosis of Submucosal Tumor of the Upper Gastrointestinal Tract by Endoscopy,” in Japanese, Stomach and Intestine, Vol. 39, No. 4, 2004, pp. 446-456.
[3]	I. Hirata, E. Umegaki, K. Hayashi, et al., “Diagnosis and Treatment of Lipoma in the Alimentary Tract,” in Japanese, Stomach and Intestine, Vol. 39, No. 4, 2004, pp. 601-611.
[4]	E. D. Palmer, “Benign Intramural Tumors of the Stomach,” Medicine, Vol. 30, No. 4, 1951, pp. 81-181.
[5]	H. Machishi, M. Suzaki, T. Mutoh, et al., “A Case of Gastric Lipoma Prolapsed into the Duodenal Bulb, Which Caused Ball Valve Syndrome,” in Japanese, Japanese Journal of Gastroenterology, Vol. 93, No. 8, 1996, pp. 560-564.
[6]	S. Yazumi, H. Nakase, Y. Matsushima, et al., “The ‘Scarf-Ring Sign’ of Ball Valve Syndrome,” Gastrointestinal Endoscopy, Vol. 55, No. 4, 2002, p. 560.
[7]	T. Hori, Y. Okada, H. Machishi, et al., “A Case of Gastric Gastrointestinal Autonomic Nerve Tumor of Fornix Prolapsed into Bulbus of the Duodenum with Ball Valve Syndrome,” in Japanese, Japanese Journal of Gastroenterology, Vol. 100, 2003, pp. 673-679.
[8]	W. H. Hobbs and S. E. Cohen, “Gastroduodenal Invagination Due to a Submucous Lipoma of the Stomach,” The American Journal of Surgery, Vol. 71, No. 4, 1946, pp. 505-518. doi:10.1016/0002-9610(46)90199-7
[9]	T. Yoshida, T. Masunaga, T. Taguchi, et al., “A Case Report of Gastroduodenal Intussusception Caused by a Leiomyoma Arising from Gastric Body (So-Called Ball Valve Syndrome),” in Japanese, Japanese Journal of Gastroenterology, Vol. 91, 1994, pp. 1228-1233.