A 90-year-old female was admitted to our hospital with hematemesis. Esophagogastroduodenoscopy revealed blood flowing from a submucosal tumor of about 20 mm in diameter with a few erosions on its surface at the greater curvature of the antrum. It was bleeding from one of the erosions and treated by electrocoagulation. The submucosal tumor had initially been detected by esophagogastroduodenoscopy four years previously and was presumed to be a lipoma by computed tomography. To prevent rebleeding, the ESD procedure was performed on the 5th hospital day with the patient's consent. Complete en bloc resection was achieved in 70 min. There were no specific technical difficulties or complications. Pathological examination confirmed that the submucosal tumor was a lipoma. To our knowledge, this is the first report of a hemorrhagic gastric lipoma removed by ESD in a patient in her nineties.
