Rare ileal localisation of angiolipoma presenting as chronic haemorrhage and severe anaemia: a case report.

Journal of Medical Case Reports
Nicola Della VolpeAssunta Caiazza

Abstract

Angiolipomas are frequently observed benign tumours. They have a typical vascular component and are often located in subcutaneous tissues, and more rarely, in the gastrointestinal tract. We report an uncommon case of an angiolipoma found in the lower portion of the small bowel of an 80-year-old man who was undergoing evaluation for chronic anaemia. A standardised diagnostic pathway was followed. Endoscopic and radiological findings were negative. The diagnosis was finally established with the aid of capsule endoscopy. The case we report is the first in the literature of an angiolipoma without specific painful symptoms. In fact, the patient did not complain of abdominal pain or alvus changes, and abdominal examination did not suggest an expansive process. The endoscopic study performed with the capsule identified the lesion as the cause of the ingravescent anaemia. Intra-operative histological examination of the lesion made it possible to avoid a major surgical procedure and assured a short postoperative course for the patient. This report focuses on the importance of correct pre- and/or intra-operative histological diagnosis in order to offer the best therapeutic choice. An angiolipoma was suspected in this case, even though th...Continue Reading

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Citations

Oct 16, 2009·Cases Journal·Ali AminianKaramollah Toolabi
Jun 20, 2013·Case Reports in Pathology·Gabriel M Groisman
Nov 1, 2011·Gastroenterology·George SgourakisConstantine Karaliotas
Dec 19, 2013·Journal of Digestive Diseases·Ying Hang, Chang Qing Zhu
Apr 18, 2015·BMJ Case Reports·Jupin ChackoFarhad Vossoughi
May 31, 2017·Archives of Pathology & Laboratory Medicine·Yong-Jun Liu, Dipti M Karamchandani
Aug 14, 2021·Journal of Surgical Case Reports·Akiharu KimuraHiroshi Saeki

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Methods Mentioned

BETA
biopsy

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