Gastric Lipoma Presenting with Massive Upper Gastrointestinal Bleeding

Ramdass, Michael J.; Mathur, Sanjana; Seetahal-Maraj, Panduranga; Barrow, Shaheeba

doi:10.1155/2013/506101

Cited by 18 publications

(37 citation statements)

References 6 publications

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“…Esophageal lipomas are uncommon and account for 0.4% of all benign digestive tract neoplasms (8). Gastric lipomas are remarkably rare, benign tumors and are commonly located submucosally in the gastric antrum; these lesions represent <5% of all lipomas of the gastrointestinal tract (9). Additionally, lipomas may also be identified accidentally within the small bowel due to intussusception and gastrointestinal bleeding (10).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

et al. 2017

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Abstract. Lipomas of the sigmoid colon are rare entities. The present case describes a 27-year-old Caucasian woman who underwent a laparoscopic sigmoidectomy following the detection of a giant lipoma. The young patient was referred to the Emergency Department of the University Hospital of Heraklion (Crete, Greece) in May 2013 after experiencing intermittent abdominal cramping during defecation, and altering episodes of diarrhea and constipation. In addition, the patient described the protrusion of a solid tissue mass shaped like a 'champagne bottle cork' from the anus following defecation. These symptoms had been present for 1 month prior to referral. Physical examination was unremarkable. An urgent colonoscopy revealed a polypoid lesion measuring 2.5 cm in diameter in the sigmoid colon, which was located ~12 cm above the anal ring, with a smooth surface and tissue fragility. Tissue samples were obtained and sent for histopathological analysis. Preoperative contrast-enhanced computed tomography was performed urgently and confirmed the presence of a solid mass in the sigmoid colon without enlargement of regional lymph nodes. Following adequate preparation, the patient underwent a laparoscopic sigmoidectomy with intracorporeal termino-terminal colorectal anastomosis, with the use of a circular stapler. The patient had a positive post-operative outcome without complications and was discharged on day 4 post-surgery in an optimal condition. Histopathological examination of the surgical specimen demonstrated a pedunculated lipoma shaped like a 'champagne bottle cork'. The tumor consisted of mature adipose cells. The overlying colonic mucosa showed hyperplastic crypts with regenerative changes. In the lamina propria mild inflammatory infiltration was observed. At 2 years post-surgery, the patient remains asymptomatic without any clinical evidence of recurrence.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

et al. 2017

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“…Ulcerated gastric lipomas are generally large : more than 40 mm 1,2,8,9,11 -13) . An ulcer is likely to be formed on the top of the tumor 8,9) . However, in the present case, the ulcer was located on the side of the tumor.…”

Section: Discussionmentioning

confidence: 99%

A case of gastric lipoma resected by endoscopic submucosa dissection with difficulty in preoperative diagnosis

Ichinose¹,

Hikichi

Kanno

et al. 2017

FJMS

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A 66 -year -old man was referred to our hospital with an increasing subepithelial lesion in the gastric antrum. Using esophagogastroduodenoscopy, a tumor with a steep, 20 -mm -high rise protruding in the lumen was observed. The mucosal surface of the tumor was reddish, with ulcers forming at the base. Moreover, the tumor was mobile and soft. A biopsy specimen was taken from the ulcer, but tumor tissue was not collected from the submucosa. Endoscopic ultrasonography (EUS) showed a high echoic mass in the submucosa. However, because the mucosal surface of the ulceration was red, the mesenchymal tumor with internal bleeding was inferred to be lipoma. Additionally, because the tumor was small, flexible, and soft, collecting tumor tissue under EUS -guided fineneedle aspiration was inferred as difficult. We were unable to make a final diagnosis because the lesion showed a small tumor with atypical macroscopic morphology. Therefore, endoscopic submucosa dissection (ESD) was chosen for the diagnostic treatment. Sodium hyaluronate sufficient for separation from the muscular layer was injected into the submucosa. Then submucosal dissection was performed just above the muscle layer. Results demonstrate the possibility of removing the tumor reliably without perforation. Pathological evaluation of the ESD specimen indicated a diagnosis of gastric lipoma.

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“…Gastric lipomas (GL) do not occur frequently and represent less than 1% of all tumours occurring in stomach. GL constitute of 5% of all gastrointestinal lipomas [1,2,3,4]. GL occur most frequently in the fifth or sixth decade of life [2].…”

Section: Introductionmentioning

confidence: 99%

“…GL constitute of 5% of all gastrointestinal lipomas [1,2,3,4]. GL occur most frequently in the fifth or sixth decade of life [2]. Patients with GL usually have no symptoms and are commonly identified incidentally.…”

Section: Introductionmentioning

confidence: 99%