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A Journal on Surgery

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Chirurgia 2003 June;16(3):91-4

language: Italian

Bleeding gastric lipoma. A case report

Cuviello A., Gemo G., Greco A., Bottona E., Loro G., Calabrese G., Colombari R. Chiarello M., Ciprian V., Mastropasqua D., Meneghini G., Todarello V., Vento P., Gagni G.


It is widely assumed that gastric lipomas represent a frequent and common group of benign neoplasms. They are mainly found in the submucosa of the antrum. The smallest lipomas are usually asymptomatic. Lipomas of large size can cause upper gastrointestinal obstruction or sudden gastrointestinal bleeding. To this purpose, a clinical case with upper gastrointestinal hemorrhage caused by a bleeding lipoma is described. A 58 years-old male, is admitted to the Emergency Room for hematemesis and epigastric abdominal pain. Endoscopy, radiologic evaluation and abdominal CT suggest a neoplasia of the antrum with a fatty removed. The patient undergoes surgical laparotomy and the mass, previously characterized, is completely enucleated. The frozen section examination confirms the diagnosis of gastric lipoma. The patient, after regular postoperative hospitalization, is discharged at 8 day.

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