Korean J Gastrointest Endosc.  2001 Jan;22(1):41-44.

A Case of Gastric Lipoma with Hemorrhage

Affiliations
  • 1Department of Internal Medicine, Kwangju Veterans Hospital, Kwangju, Korea. ijcmd@hanmail.net
  • 2Department of Pathology, Kwangju Veterans Hospital, Kwangju, Korea.

Abstract

Gastric lipoma is rare submucosal tumor, accounting for less than 3% of all be- nign gastric tumor. Most are usually asymptomatic, but on occasion, they may present with abdominal pain, obstruction, dyspepsia, intussuception and gastrointestinal bleeding. Surgical resection is definitive diagnostic and therapeutic procedure. Surgical removal of gastric lipoma should be considered in the following situations: 1) the lesion is large, 2) the lesion is difficult to differentiate from malignant tumor, 3) the patient is symptomatic or has recurrent bleeding or obstruction. We report a case of gastric lipoma with bleeding in a 67-year-old male. Gastroscopy showed active gastric ulcer with fresh blood clot. Although medical conservative treatment was done, bleeding was continued. We referred patient to general surgical department for open surgical procedure and subtotal gastrectomy was performed. Histopathological examination of surgical gastric segment showed 5 5.5 cm sized ulcerated mass. Microscopic finding of cross section showed uniform and mature adipose cell, finding consistent with lipoma. We confirmed it submucosal gastric lipoma with ulcer bleeding.

Keyword

Lipoma; Ulcer; Stomach; Adipocyte

MeSH Terms

Abdominal Pain
Adipocytes
Aged
Dyspepsia
Gastrectomy
Gastroscopy
Hemorrhage*
Humans
Lipoma*
Male
Stomach
Stomach Ulcer
Ulcer
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