Korean Journal of Gastrointestinal Endoscopy 2001;22(1): 41-44.
출혈을 동반한 위지방종 1예 ( A Case of Gastric Lipoma with Hemorrhage )
임종철(Jong Cheol Im),강헌석(Heon Seok Kang),이남훈(Nam Hun Lee),김한균(Han Keun Kim),염형렬(Houng Roul Youm),김명성(Myung Seong Kim),이대호(Dae Ho Lee),류형선(Heong Seon Rheu),명재일(Jae Il Myung),김완(Won Kim),고향미(Hyang Mee Ko)
Abstract
Gastric lipoma is rare submucosal tumor, accounting for less than 3% of all be- nign gastric tumor. Most are usually asymptomatic, but on occasion, they may present with abdominal pain, obstruction, dyspepsia, intussuception and gastrointestinal bleeding. Surgical resection is definitive diagnostic and therapeutic procedure. Surgical removal of gastric lipoma should be considered in the following situations: 1) the lesion is large, 2) the lesion is difficult to differentiate from malignant tumor, 3) the patient is symptomatic or has recurrent bleeding or obstruction. We report a case of gastric lipoma with bleeding in a 67-year-old male. Gastroscopy showed active gastric ulcer with fresh blood clot. Although medical conservative treatment was done, bleeding was continued. We referred patient to general surgical department for open surgical procedure and subtotal gastrectomy was performed. Histopathological examination of surgical gastric segment showed 5 x 5.5 cm sized ulcerated mass. Microscopic finding of cross section showed uniform and mature adipose cell, finding consistent with lipoma. We confirmed it submucosal gastric lipoma with ulcer bleeding. (Korean J Gastrointest Endosc 2001;22:41 - 44)
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