title: [Bleeding plug obstructing the pylorus - a rare complication of a gastric lipoma].
abstract: A 67-year-old patient was admitted to our hospital with lack of appetite and upper gastrointestinal bleeding. The immediately performed emergency gastroscopy showed a giant subepithelial tumour with ulceration located in the antrum. Emerging from the tumourous ulcer was a peg-shaped outgrowth reaching through the pylorus down to the duodenum causing gastric outlet obstruction. Based on this unusual presentation of a gastric giant lipoma we have reviewed the literature concerning differential diagnosis and treatment options.
authors.forename: T
authors.initials: T
authors.lastname: Fischer
mesh_terms: D000368:Aged; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D011707:Pyloric Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome