A Case of Gastric Lipoma with Hemorrhage.
- Author:
Jong Cheol IM
1
;
Heon Seok KANG
;
Nam Hun LEE
;
Han Keun KIM
;
Houng Roul YOUM
;
Myung Seong KIM
;
Dae Ho LEE
;
Heong Seon RHEU
;
Jae Il MYUNG
;
Wan KIM
;
Hyang Mee KO
Author Information
1. Department of Internal Medicine, Kwangju Veterans Hospital, Kwangju, Korea. ijcmd@hanmail.net
- Publication Type:Case Report
- Keywords:
Lipoma;
Ulcer;
Stomach;
Adipocyte
- MeSH:
Abdominal Pain;
Adipocytes;
Aged;
Dyspepsia;
Gastrectomy;
Gastroscopy;
Hemorrhage*;
Humans;
Lipoma*;
Male;
Stomach;
Stomach Ulcer;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2001;22(1):41-44
- CountryRepublic of Korea
- Language:Korean
-
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.
