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Gastric lipoma presenting with massive upper gastrointestinal bleeding
Michael J Ramdass1, Sanjana Mathur1, Panduranga Seetahal-Maraj1
1Department of Surgery, General Hospital, Port-of-Spain, Trinidad, Trinidad And Tobago.
Case Reports in Emergency Medicine
|December 24, 2013
Summary
A rare benign gastric lipoma caused massive upper gastrointestinal bleeding in a 37-year-old female. This case highlights the importance of considering gastric lipomas in the differential diagnosis of upper GI hemorrhage.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Gastric lipomas are rare, benign submucosal tumors.
- They typically occur in the gastric antrum and are often asymptomatic.
- However, they can cause symptoms like bleeding or intussusception based on size, location, and ulceration.
Purpose of the Study:
- To present a case of massive upper gastrointestinal bleeding caused by a benign gastric lipoma.
- To emphasize the diagnostic considerations for gastric lipomas presenting with hemorrhage.
Main Methods:
- Case presentation of a 37-year-old female with massive upper GI bleeding.
- Surgical exploration (laparotomy) revealing a pedunculated submucosal gastric mass.
- Pathological examination confirming a benign gastric lipoma with a central ulcer.
Main Results:
- A 4cm benign gastric lipoma was identified on the posterior wall of the stomach.
- The lipoma had a bleeding central ulcer, identified during laparotomy.
- Histopathology confirmed the benign nature of the tumor.
Conclusions:
- Benign gastric lipomas, though rare, can present with significant upper gastrointestinal hemorrhage.
- Diagnostic imaging including upper endoscopy, endoscopic ultrasound, CT, and MRI are crucial.
- Surgical excision remains the definitive treatment for symptomatic gastric lipomas.
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