A Case Report of Gastrointestinal Bleeding Due to Gastric Lipoma

Authors

1 Associate Professor, Physiology Research Center, Kerman University of Medical Sciences, Kerman Iran Department of Internal Medicine, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman Iran

2 Associate Professor, Physiology Research Center, Kerman University of Medical Sciences, Kerman Iran Assistant Professor, Department of Surgery, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman Iran

3 General Practitioner, Kerman University of Medical Sciences, Kerman Iran

Abstract

Benign Gastric tumors are rare and generally account for less than 10% of all stomach tumors. Gastric lipoma is a rare tumor that constitutes approximately 3% of all benign tumors of the stomach and mainly is seen as a submucosal mass. Most gastric lipoma are asymptomatic and are found accidentally. Occasionally they can cause symptoms such as gastrointestinal bleeding, obstruction, abdominal pain and intussuception. CT scan and endoscopy are helpful in diagnosis. The main modality of treatment is surgery. Diagnosis is confirmed by histology. In this article, a patient with weakness, fatigue, and melena complaints is presented. On gastric endoscopy a yellowish submucosal mass was seen in antrum. Abdominal CT scan disclosed a mass with fat density resembling lipoma. The patient underwent surgery and diagnosis of lipoma was confirmed by histology. Although gastric lipoma is rare, it should be considered in the assessment and differential diagnosis of hemorrhagic submucosal masses in the stomach.

Keywords