Angiolipoma of the stomach as a cause of chronic upper gastrointestinal bleeding

DeRidder, Peter H.; Levine, Allan J.; Katta, Joseph J.; Catto, James A.

doi:10.1007/bf00590911

Cited by 22 publications

(27 citation statements)

References 13 publications

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“…12 Gastrointestinal (GI) angiolipoma is rare, and to the best of our knowledge, only 4 angiolipoma cases have been reported in the stomach so far (Table). [4][5][6][7] Occasional cases have been reported in other areas of the GI tract, including the esophagus, 13 duodenum, 8,14 small intestine, 15,16 colon, 9,11,[17][18][19] and rectum. 20,21 Angiolipoma in the GI tract almost exclusively occurs as a solitary lesion and usually lacks specific clinical manifestations.…”

Section: Clinical and Endoscopic Featuresmentioning

confidence: 99%

“…Patients may be asymptomatic, or some may present with ulcerative GI bleeding and anemia, or symptoms of obstruction or intussusception due to the increasing size of the tumor. In the 4 reported gastric angiolipoma case reports, 3 presented with GI hemorrhage and anemia [4][5][6] and 1 with intussusception caused by synchronous occurrence of a large solitary gastric PeutzJeghers polyp (Table). 7 Hemorrhage is generally attributed to the proliferating vessels or due to the ulcer.…”

Section: Clinical and Endoscopic Featuresmentioning

confidence: 99%

“…Upper GI endoscopy typically shows submucosal polypoid mass with superficial ulceration, probably due to the mass effect of the expanding lesion ( Figure 1). [4][5][6] RADIOLOGIC FEATURES Angiolipoma appears as a mass with a central hyperechoic portion surrounded by a hypoechoic part on the periphery on abdominal echo. 5,11 Endoscopic ultrasound can show isoechoic and hyperechoic parts, probably in part secondary to the stromal fibrosis induced by ulceration.…”

Section: Clinical and Endoscopic Featuresmentioning

confidence: 99%

“…[4][5][6][7] Grossly, angiolipoma is a wellcircumscribed, encapsulated lesion, the cut surface of which varies from yellow to red according to the prevalence of fat or vascular component. The surface of the tumor may demonstrate brownish-red erosion.…”

Section: Pathologic Featuresmentioning

confidence: 99%

“…2,3 Angiolipoma in the stomach is extremely rare. [4][5][6][7] Although endoscopic and radiologic examination may provide some helpful information, accurate preoperative diagnosis of gastric angiolipoma is often challenging. [8][9][10][11] The final diagnosis usually relies on histopathologic evaluation of the excision specimen.…”

mentioning

confidence: 99%

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Gastric Angiolipoma: A Rare Entity

Liu

Karamchandani

2017

Archives of Pathology &Amp; Laboratory Medicine

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Angiolipoma is a benign tumor composed of adipose tissue and proliferating blood vessels that is commonly found in the subcutaneous tissue of the trunk and extremities. Gastric angiolipoma is a rare entity, and to the best of our knowledge, only 4 cases have been reported in the English-language literature thus far. These tumors may present as gastrointestinal bleeding and anemia or with obstructive symptoms. Accurate preoperative diagnosis is challenging because of nonspecific clinical symptoms and lack of specific findings on imaging studies. The correct diagnosis is usually made by histopathologic examination. The clinical significance lies in being aware of this rare entity in the stomach and distinguishing it from other benign and malignant gastric neoplasms that may be in the differential diagnosis. We herein discuss the clinical presentation, radiologic and histopathologic features, ancillary studies, differential diagnosis, and treatment and prognosis of this rare entity.

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Section: Clinical and Endoscopic Featuresmentioning

confidence: 99%

Section: Clinical and Endoscopic Featuresmentioning

confidence: 99%

Section: Clinical and Endoscopic Featuresmentioning

confidence: 99%

Section: Pathologic Featuresmentioning

confidence: 99%

mentioning

confidence: 99%

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Gastric Angiolipoma: A Rare Entity

Liu

Karamchandani

2017

Archives of Pathology &Amp; Laboratory Medicine

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Duodenal angiolipoma. An extremely rare cause of upper GI haemorrhage

et al. 2011

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Background-Aim: Gastrointestinal angiolipomas are rare benign lipomatous lesions first described by Bowen in 1912 and differentiated histologically by Howard in 1960. Duodenal angiolipomas represent a rare pathological condition that can lead to severe gastrointestinal bleeding; they may be treated successfully surgically and occasionally endoscopically. We report the 3rd case of duodenal angiolipoma to be reported in the literature between 1964 and 2010. Method: Databases from Pubmed and Medline were searched using a list of keywords such as angiolipomas, gastrointestinal bleeding, duodenal angiolipomas and references from review articles. Results: 21 reported cases of gastrointestinal angiolipomas have been reported, including 1 case of the oesophagus, 3 of the stomach, 2 of the duodenum, 7 of the small intestine, 2 of the caecum, 4 of the large intestine and 2 cases of the rectum. Conclusion: It is important to include the presence of angiolipomas in the differential diagnosis of gastrointestinal bleeding. These benign lesions may lead to severe bleeding. Careful evaluation and preoperative work up of the patient will determine the treatment of choice and reduce postoperative complications.

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