Case Report | DOI: https://doi.org/10.31579/2690-1919/053
1 Departement of gastroenterology. Habib Thameur Hospital, Tunisia
2 Departement of pathology. Habib Thameur Hospital, Tunisia
3 Departement of surgery. Habib Thameur Hospital, Tunisia
*Corresponding Author: Sabbah Meriam, Departement of gastroenterology. Habib Thameur Hospital, Tunisia.
Citation: Sabbah Meriam, Sabbah Meriam, Helal Imen, Haddad Dhafer, Bellil Nawel, Gargouri Dalila. Gastric Lipoma Revealed By Digestive Bleeding. J Clinical Research and Reports, 3(3); DOI:10.31579/2690-1919/053
Copyright: © 2020 Sabbah Meriam. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 18 February 2020 | Accepted: 27 February 2020 | Published: 05 March 2020
Keywords: surgery; gastric lipoma; digestive bleeding
A 40-year-old men presented to the emergency for digestive bleeding (hematemesis). Hemoglobin level was 11g / dL Upper endoscopy showed an ulcerated gastric submucosal tumor of 4 centimeters of the antrum. CT scan found the gastric tumor which was hypodense and heterogenous and revealed no apparent metastasis. Echoendoscopy confirmed the presence of submucosal hypergenic hetereogenous tumor mesasuring 4cm seeming to develop on the 3th layer. Mucosal biopsy was negative. Patient underwent surgery (partial gastrectomy). Histological examination confirmed the submucosal lipoma. Outcome was favorable after surgery.
A 40-year-old men presented to the emergency for digestive bleeding (hematemesis). Hemoglobin level was 11g / dL Upper endoscopy showed an ulcerated gastric submucosal tumor of 4 centimeters (Fig 1) of the antrum. CT scan found the gastric tumor which was hypodense and heterogenous and revealed no apparent metastasis (Fig 2). Echoendoscopy confirmed the presence of submucosal hypergenic hetereogenous tumor mesasuring 4cm seeming to develop on the 3th layer (Fig 3). Mucosal biopsy was negative. Patient underwent surgery (partial gastrectomy). Histological examination confirmed the submucosal lipoma (Figure 4). Outcome was favorable after surgery.
Figure 1: Endoscopic view: submucosal antral lesion of 4cm
Figure 2: CT scan: the tumor is hypodense and heterogenous with no metastases
Figure 3: Echoendoscopy: submucosal hypergenic hetereogenous tumor mesasuring 4cm seeming to develop on the 3th layer
Figure 4: Histopathological examination: mature lipoma
Conflicts of interest: None
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