title: Case report: a gastric lipoma in a morbid obese man.
abstract: We report a case of a 54-year-old, morbid obese man who presented with melena, hematemesis and fatigue over the last two days. The cause of this upper gastrointestinal bleeding was found on endoscopy which revealed an ulcerated submucosal mass in the gastric antrum. The haemorrhagia could not be stopped with injection of Aethoxysclerol. The mass was resected by an antrectomy with Roux-en-Y reconstruction. Histologic examination showed a lipoma. No further treatment was necessary. In this case report, we would like to stress the need for histologic diagnosis to differentiate a benign gastric lesion from a malign.
authors.affiliation: Faculty of Medicine, University of Antwerp, Antwerp, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Van Thielen
authors.forename: S
authors.initials: S
authors.lastname: Van Loo
authors.forename: Y
authors.initials: Y
authors.lastname: Van der Stighelen
mesh_terms: D005753:Gastric Mucosa / Q000473:pathology; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D008067:Lipoma / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000473:pathology; D008297:Male; D008551:Melena / Q000209:etiology; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology*; D011706:Pyloric Antrum; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000473:pathology; D014456:Ulcer / Q000473:pathology