Abstract

origin, but in rare cases could originate in the subserosa. We report the case of a 72 year-old male who presented dyspeptic syndrome and superior gastro-intestinal bleeding (melena). The upper gastrointestinal endoscopy revealed a large, almost stenotic, submucosal oval-shaped mass, with a diameter of 10 cm located in the gastric antrum, with an area of ulcerated gastric mucosa. The abdominal computer tomography revealed a homogeneous well-defined mass with negative densitometry values that corresponded to the fatty tissue. The tumor was enucleated through antrotomy, with an uneventful postoperative course. CONCLUSION: Although rare, the gastric lipoma can be a cause of gastrointestinal bleeding, mimicking a malignant tumor.

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