{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T05:12:18Z","timestamp":1774501938902,"version":"3.50.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T00:00:00Z","timestamp":1573516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T00:00:00Z","timestamp":1573516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Duodenal fibrolipoma and duodenum-jejunum intussusception are both rare occasions in clinical practice. The diagnosis of duodenal fibrolipoma mainly depends on endoscopy examination, supplemented by CT and MRI. As the tumor grows, some severe symptoms need surgical intervention. As the development of endoscopic techniques, the operation plan should be made individually.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 47-year-old female with the complaint of upper abdominal pain and melena was reported. Abdominal examination revealed upper abdomen lightly tender and blood test showed severe anemia. Image and endoscopy examination exhibited \u201ca giant mass\u201d in the descending (D2) part of duodenum, dragged by the tumor into the distal intestinal canal and causing intussusception. Intermittent blood transfusion treatment, enteral and parenteral nutrition were adopted to adjust her general state. Two weeks later, the mass was resected together with the basement intestinal wall via the jejunum incision and then the intussuscepted D2 part was restored. The paraffin pathological diagnosis correlated with the preoperative judgment of fibrolipoma and the patient was discharged healthy on POD 14.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Duodenal fibrolipoma is a rare disease, infrequently causing intussusception and severe upper GIB. Duodenoscopy and endoscopic ultrasound contribute to making an appropriate diagnosis, and for patients with severe symptoms needed surgical intervention, operation plan should be individualized depending on the size and location of the lesion.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12893-019-0634-1","type":"journal-article","created":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T16:03:06Z","timestamp":1573574586000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Duodenal descending part-jejunum intussusception and upper gastrointestinal bleeding caused by duodenal fibrolipoma: a case report"],"prefix":"10.1186","volume":"19","author":[{"given":"Bangbo","family":"Zhao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingtong","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weibin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,11,12]]},"reference":[{"issue":"2","key":"634_CR1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.4103\/1117-6806.119239","volume":"19","author":"PN Wichendu","year":"2013","unstructured":"Wichendu PN, Dodiyi-Manuel A. Gastric outlet obstruction from duodenal lipoma in an adult. Niger J Surg. 2013;19(2):79\u201381.","journal-title":"Niger J Surg"},{"issue":"6","key":"634_CR2","first-page":"410","volume":"25","author":"R Zhu","year":"2018","unstructured":"Zhu R, Luo YF, Wu HW, et al. Small intestinal lipoma: a clinicopathologic analysis of 14 cases. J Diag Pathol. 2018;25(6):410\u20133.","journal-title":"J Diag Pathol"},{"issue":"7","key":"634_CR3","first-page":"PE01","volume":"11","author":"MW Pei","year":"2017","unstructured":"Pei MW, MR HU, Chen WB, et al. Diagnosis and treatment of duodenal lipoma: a systematic review and a case report. J Clin Diagn Res. 2017;11(7):PE01\u20135.","journal-title":"J Clin Diagn Res"},{"issue":"2","key":"634_CR4","first-page":"125","volume":"49","author":"HT Chen","year":"2010","unstructured":"Chen HT, Xu GQ, Wang LJ, et al. The diagnosis and treatment of duodenal lipoma. Chin J Intern Med. 2010;49(2):125\u20138.","journal-title":"Chin J Intern Med"},{"issue":"8","key":"634_CR5","first-page":"505","volume":"32","author":"MD Xu","year":"2012","unstructured":"Xu MD, Li L, Wang XY, et al. Endoscopic submucosal dissection in the treatment of giant gastrointestinal lipomas. Chin J Dig. 2012;32(8):505\u20138.","journal-title":"Chin J Dig"},{"issue":"S 02","key":"634_CR6","doi-asserted-by":"publisher","first-page":"E385","DOI":"10.1055\/s-0033-1344825","volume":"45","author":"Henrik Thorlacius","year":"2013","unstructured":"Henrik T, H\u00e5kan W, Otto L, et al. Endoscopic diagnosis and treatment of a giant duodenal lipoma presenting with gastrointestinal bleeding. Endoscopy. 2013;45:E385\u20136.","journal-title":"Endoscopy"},{"issue":"3","key":"634_CR7","doi-asserted-by":"publisher","first-page":"459","DOI":"10.4293\/108680813X13654754535395","volume":"17","author":"AK Parmar","year":"2013","unstructured":"Parmar AK, Bibyan M, Khandelwal R, et al. Laparoscopic management of a large duodenal lipoma presented as gastric outlet obstruction. JSLS. 2013;17(3):459\u201362.","journal-title":"JSLS"},{"issue":"1","key":"634_CR8","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.dld.2014.09.005","volume":"47","author":"F Aslan","year":"2015","unstructured":"Aslan F, Akpinar Z, Cekic C, et al. En bloc resection of a 9 cm giant gastro-duodenal lipoma by endoscopic submucosal dissection. Dig Liver Dis. 2015;47(1):88\u20139.","journal-title":"Dig Liver Dis"},{"issue":"1","key":"634_CR9","first-page":"12","volume":"2","author":"LF Chai","year":"2016","unstructured":"Chai LF, Batista PM, Lavu H. Taking the Lead: a case report of a leiomyoma causing Duodeno-duodenal intussusception and review of literature. Case Rep Pancreat Cancer. 2016;2(1):12\u201322.","journal-title":"Case Rep Pancreat Cancer"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-019-0634-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12893-019-0634-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-019-0634-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T20:17:43Z","timestamp":1722025063000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-019-0634-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,12]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["634"],"URL":"https:\/\/doi.org\/10.1186\/s12893-019-0634-1","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,12]]},"assertion":[{"value":"9 August 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 October 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 November 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the Ethics Committee of Peking Union Medical College Hospital. Written informed consent was obtained from the patient to participate to this case report and any accompanying images.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this article and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"169"}}