Year 2022 / Volume 114 / Number 2
Letter
Giant gastric lipoma as an uncommon cause of upper gastrointestinal bleeding

123-124

DOI: 10.17235/reed.2021.8210/2021

Diego Rosales, Pedro Montes,

Abstract
A 52-year-old male patient presented to the Emergency Room due to melena. A gastroscopy was performed, which revealed a submucosal lesion in the antrum of the stomach. The lesion was lined with regular smooth mucosa except for an apical ulceration. Histology showed gastric mucosa with foveolar hyperplasia. Abdominal computed tomography (CT) showed a homogeneous, well-delimited fat-density mass measuring 5.9 x 4.3 cm. Laparoscopic surgery then found a solid tumor involving the whole thickness of the anterior wall at the prepyloric area, which was resected. Microscopic examination revealed a homogeneous, soft, ulcerated submucosal mass of yellowish adipose tissue that was 5 x 5 x 2 cm in size. Microscopically, the tumor was composed of mature fatty tissue with fibrous septa, and was partially encapsulated and circumscribed. It was reported as a submucosal lipoma. The patient had a favorable outcome.
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References
1. Almohsin M, Meshikhes AW. Gastric lipoma presenting with haematemesis. BMJ Case Rep. 2015 Jan 29;2015:bcr2014206884.
2. Nasa M, Choksey A, Phadke A, et al. Gastric lipoma: an unusual cause of dyspeptic symptoms. BMJ Case Rep. 2016 Jun 22;2016:bcr2016215297.
3. Cappell MS, Stevens CE, Amin M. Systematic review of giant gastric lipomas reported since 1980 and report of two new cases in a review of 117110 esophagogastroduodenoscopies. World J Gastroenterol. 2017 Aug 14;23(30):5619-5633.
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Rosales D, Montes P. Giant gastric lipoma as an uncommon cause of upper gastrointestinal bleeding. 8210/2021


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Publication history

Received: 11/07/2021

Accepted: 17/09/2021

Online First: 08/10/2021

Published: 07/02/2022

Article revision time: 11 days

Article Online First time: 89 days

Article editing time: 211 days


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