Comment

Tumors of the small bowel are uncommon, and Minardi et al. report the incidence of lipomas in the small bowel to be 4.5%.1 They are usually submucosal but may be subserosal. When symptomatic, the most common presentation is abdominal pain due to intussusception. Bleeding which occurred in this patient is much less common and was probably due to venous congestion and ulceration on the tip of the polyp. Barium enema or CT may demonstrate the lesion.2 Newer endoscopy techniques and the small intestine camera ("pill cam"),3 should significantly improve the opportunity for preoperative diagnosis.

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