A case of gastric lipoma presenting as gastrointestinal hemorrhage

Abstract

A 66-year-old man was found to have a gastric submucosal tumor in March, 2007. On CT scan and EUS, a diagnosis of gastric lipoma was made. Therefore, the patient was followed. He developed tarry stools in July, 2008. On emergent endoscopy, hemorrhagic ulcers were seen on top of the gastric submucosal tumor. The hemorrhagic points were successfully clipped. To deal with the risk of re-bleeding, a wedge resection of the stomach was subsequently performed. The resected specimen included a smooth, solid, semispherical tumor covered with gastric mucosa (50×50 mm in size). Furthermore, multiple ulcers were located on the overlying mucosa. Histological examination confirmed the diagnosis of gastric lipoma, with no evidence of tumor necrosis or bleeding. The development of hemorrhagic ulcer formation in a gastric lipoma is rare. We report a case of gastric lipoma which during follow-up.