Abstract
We report a rare case of gastric lipoma with hemorrhagic ulcer. A 55-year-old man admitted for further examination of an abnormal shadow in a routine upper gastrointestinal (GI) tract series was found in endoscopic examination to have a 3cm semipedunculated submucosal tumor on the anterior wall of the lower gastric body. Endoscopic ultrasonography showed a soft homogenous hyperechoic mass limited to the third layer, and diagnosed as gastric lipoma. We suggested that he have a check up every six months, but he did not follow through. Two years later, he was readmitted for dyspnea and found in endoscopic examination to have a 5cm semipedunculated submucosal tumor with an ulcer on the anterior wall of the lower gastric body. CT showed a 5cm low-attenuation mass in the lower gastric body composed of fat. We performed partial gastrectomy. Gastric lipoma with hemorrhagic ulcer formation during follow-up is rare, and only six cases have, to our knowledge, been reported in Japan.
