Gastrointestinal bleeding as an initial manifestation of gastric lipoma: Case report and review of the literature

Abstract

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Gastric lipoma of the pylorus – case report of an incidental finding

“…Usually, on barium studies, extra mucosal neoplasms, including lipomas, appear as a well-defined filling defect with a 'bull's eye' appearance.3 CT is a precise imaging diagnostic tool for lipoma [8 , 15] . The CT is beneficial for its diagnosis.…”

“…Gastric lipomas are rare tumors, comprising only 1-3% of benign stomach tumors [1] . Most gastric lipomas are found incidentally; however, larger tumors can be symptomatic.…”

Enucleation of ulcerated gastric lipoma after massive melaena

“…Lipomas account for 1%-3% of all gastric tumours. [1][2][3] They represent 5% of all gastrointestinal tract lipomas. 2 Lipomas are mainly found in women.…”

“…1 2 4 6 Upper gastrointestinal endoscopy usually reveals a submucosal mass with three signs that help establishing the diagnosis: pillow sign, tenting sign and a naked fat sign. 1 Most lipomas are submucosal (95%), which means regular mucosa biopsies are inconclusive. 3 4 6 Endoscopic ultrasound reveals a hyperechoic, homogeneous and well-circumscribed submucosal lesion.…”

Giant Ulcerated Gastric Lipoma Managed with Endoscopic Submucosal Dissection

“…The endoscopic approach plays an increasingly important role, especially in not-fit for surgery patients and in lipomas with a greater submucosal component (instead of subserosal). We present a case of gastric lipoma managed endoscopically (ESD) with great efficacy and safety 1 2 3 .…”