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Case Reports
. 2018 Mar;100(3):e41-e43.
doi: 10.1308/rcsann.2017.0209. Epub 2018 Feb 27.

Gastric lipoma: a rare cause of haematemesis

Affiliations
Case Reports

Gastric lipoma: a rare cause of haematemesis

B Krishnaraj et al. Ann R Coll Surg Engl. 2018 Mar.

Abstract

Gastric lipomas are rare benign tumours of the stomach, representing less than 3% of all benign gastric neoplasms. They are usually asymptomatic but larger lesions can present with abdominal pain, gastric outlet obstruction and haematemesis. Malignant transformation is extremely rare. Accurate preoperative diagnosis can be established with computed tomography. Being benign, extensive surgery is not necessary and simple excision of the lesion is adequate. Small asymptomatic lesions can be followed up. We present a case of 80-year-old woman with gastric submucosal lipoma who presented with haematemesis.

Keywords: Gastric neoplasm; Haematemesis.

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Figures

Figure 1
Figure 1
Contrast-enhanced computed tomography demonstrating a well-encapsulated extramucosal lesion with low attenuation in the antrum of the stomach (yellow arrow)
Figure 2
Figure 2
Lipoma in the posterior wall of stomach
Figure 3
Figure 3
Enucleation of the lipoma after opening the seromuscular layer of the stomach
Figure 4
Figure 4
Enucleated gastric lipoma with overlying ulcerated mucosa

References

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