Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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A Case of Gastric Lipoma with Upper Gastrointestinal Bleeding

상부위장관 출혈을 동반한 위 지방종 1예

  • Gu, Min Geun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Kim, Kook Hyun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Park, Byung Sam (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Jung, Sung Yun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Jeong, Yo Han (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Dong Won (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Shin, Hyeong Chan (Department of Pathology, College of Medicine, Yeungnam University) ;
  • Gu, Mi Jin (Department of Pathology, College of Medicine, Yeungnam University)
  • 구민근 (영남대학교 의과대학 내과학교실) ;
  • 김국현 (영남대학교 의과대학 내과학교실) ;
  • 박병삼 (영남대학교 의과대학 내과학교실) ;
  • 정성윤 (영남대학교 의과대학 내과학교실) ;
  • 정요한 (영남대학교 의과대학 내과학교실) ;
  • 이동원 (영남대학교 의과대학 내과학교실) ;
  • 신형찬 (영남대학교 의과대학 병리학교실) ;
  • 구미진 (영남대학교 의과대학 병리학교실)
  • Received : 2013.06.06
  • Accepted : 2013.07.10
  • Published : 2013.12.31
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Abstract

Gastric lipoma is a typical benign submucosal tumor that is usually asymptomatic and is generally detected incidentally when performing gastroscopy. However, depending on its size and location, an atypical gastrointestinal lipoma can cause abdominal pain, diarrhea, constipation, intestinal obstruction, intussuception and life-threatening gastrointestinal bleeding. We report herein a case of gastric lipoma with bleeding in a 43-year-old man. The gastroscopy showed a $4{\times}4$ cm ulcero-fungating submucosal mass at the anterior wall of the gastric antrum. Laparoscopic gastric wedge resection was performed and the lesion was diagnosed as gastric lipoma.

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