Gastric lipomas: a rare cause of massive upper gastrointestinal bleeding

Gastric lipomas are rare and most frequently present as upper gastrointestinal bleeding. Wide excision is advocated for small lesions and incisional biopsy followed by excision or shelling out of the tumor for large lesions. Histologic confirmation is essential so that a cancer operation, should it be necessary, will not be compromised. Concomitant lesions must be sought and treated appropriately.