Korean J Gastrointest Endosc.  2009 Apr;38(4):214-217.

A Case of Giant Gastric Lipoma Showing Upper Gastrointestinal Bleeding

• Moon HS
• Sung JK
• Jeong HY
• Kang DY

Abstract

Gastric lipoma is a typical benign submucosal tumor that is usually asymptomatic and it is generally detected incidentally when performing upper GI endoscopy. However, depending on its size and location, an atypical gastrointestinal lipoma can cause abdominal pain, diarrhea, constipation, intestinal obstruction, intussuception and life-threatening gastrointestinal bleeding. This tumor is diagnosed and differentiated from other malignant and submucosal tumors on the basis of its characteristic findings at endoscopy and on computed tomography, magnetic resonance imaging and endoscopic ultrasonography. We report here on the case of a 58-year-old female with epigastric discomfort and melena; a 4.5x4 cm ulcero-fungating mass was detected on the anterior wall of the gastric antrum. Surgical subtotal gastrectomy was performed and the lesion was diagnosed as gastric lipoma.

Keyword

Gastric lipoma; Submucosal tumor; Bleeding

MeSH Terms

Abdominal Pain
Constipation
Diarrhea
Endoscopy
Endosonography
Female
Gastrectomy
Hemorrhage
Humans
Intestinal Obstruction
Lipoma
Magnetic Resonance Imaging
Middle Aged
Pyloric Antrum