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Case Reports
. 2020 Jun 29;12(6):e8909.
doi: 10.7759/cureus.8909.

Bleeding Gastric Lipoma Resected by Endoscopic Submucosal Dissection

Adil S Mir  1 , Varun Kesar  2 , Mohamed Sageer  3   4 , Douglas Grider  5   6 , Vikas Chitnavis  7
Affiliations
Case Reports

Bleeding Gastric Lipoma Resected by Endoscopic Submucosal Dissection

Adil S Mir et al. Cureus. .

Abstract

Gastric lipomas are slow-growing benign lesions of the stomach that are often detected incidentally. Most cases are asymptomatic but larger lesions may become symptomatic, thereby requiring treatment. Multiple endoscopic modalities have been used for resection in the past. We present the case of a 67-year-old patient who presented with upper GI bleeding secondary to a gastric lipoma, which was successfully resected by endoscopic submucosal dissection.

Keywords: bleeding lipoma; endoscopic submucosal dissection; gastric lipoma.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Gastric antral mass with a smooth surface below the incisura angularis
Figure 2
Figure 2. Pillow sign or cushion sign (application of mild pressure using a biopsy forceps causes indentation of the soft mass)
Figure 3
Figure 3. CT image showing a well-circumscribed mass in the lumen of the gastric antrum (arrow - axial view)
Figure 4
Figure 4. CT image showing homogeneous gastric mass with a well-defined border (arrow - coronal view)
Figure 5
Figure 5. Gastric antral mass with a surface ulcer
Figure 6
Figure 6. Endoscopic view of the gastric lipoma resection site after endoscopic submucosal dissection and cauterization
Figure 7
Figure 7. Endoscopic submucosal dissection site closed with single non-absorbable suture
Figure 8
Figure 8. Benign adipocyte proliferation in the submucosa without extension into the mucosa but pushing the mucosa up (H&E, x40 magnification)
See this image and copyright information in PMC

References

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