Volume 191 - Issue 11
A finger in the duodenum
Authors: Hayley Clifford, Millie Lui, Roger Lee and Andrew Thomson
Med J Aust 2009; 191 (11): 691. || doi: 10.5694/j.1326-5377.2009.tb03384.x
Published online: 7 December 2009
Published online: 7 December 2009
A 70-year-old man developed melaena after taking aspirin and clopidogrel for 2 months to treat ischaemic heart disease. Other medications the patient was taking included metformin and metoprolol. A lipoma, the endoscopic appearance of which resembled a finger (Figure), was the only endoscopic abnormality. It was resected endoscopically, with the aid of an endoloop to cut off its blood supply before removal with a snare. The diagnosis was histologically confirmed but ulceration was not found, possibly because one section of the lesion was not retrieved. Lipomas are soft and typically appear as an isolated bulge of smooth mucosa, often with a yellow hue. Such lesions bleed rarely.
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Jacob George, Nicole L Allard, Stuart K Roberts, Leon A Adams, Jane Davies, Behzad Hajarizadeh, Jennifer H MacLachlan, Suzanne E Mahady, Rosalie Altus, Catherine Brown, David C Fry, Belinda Greenwood‐Smith, Natali Smud, Patricia C Valery, Nafisa Yussf, Kate Broun, Denise Campbell, Karen Canfell, Chelsea Carle Harrison, Victoria Freeman, Paul Grogan, Catherine Holliday, Suzanne Hughes, Anna Kelly, Cathelijne Kemenade, Claire Latumahina, Amanda McAtamney, Megan Varlow, Joachim Worthington, Susan Yuill, Eleonora Feletto
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Leon A Adams, William W Kemp, Kate R Muller, Elizabeth E Powell, Stuart K Roberts, Luis Calzadilla Bertot, Stephanie Best, Gary Deed, Jon D Emery, Samantha L Hocking, Graham R Jones, John S Lubel, Sinead Sheils, Stephen M Twigg, Gerald F Watts, Jacob George
Treatment outcomes for people with hepatitis C referred to tertiary care in Victoria, 2021–22: a retrospective observational study
Elly Layton, Nicole Matthews, Brendan Quinn, Nasra Higgins, Gabrielle Lindeman, Mielle Abbott, Jennifer MacLachlan, Elizabeth Birbilis, Margaret E Hellard, Joseph Doyle, Benjamin C Cowie, Mark Stoové