Indira Gandhi Institute of Medical Sciences, Patna, India.
BIG Apollo Spectra Hospitals, Patna, India.
Ann R Coll Surg Engl. 2021 Jun;103(6):e196-e198. doi: 10.1308/rcsann.2020.7094. Epub 2021 Apr 14.
Gastric lipomas are rare benign neoplasms of the stomach. These submucosal lesions and located mostly in the antral region of the stomach. Small lipomas are usually asymptomatic and are detected incidentally. When large, they may present with abdominal pain, gastrointestinal (GI) bleeding or gastric outlet obstruction. We hereby present a case of gastric lipoma in a 54-year-old man presenting with massive upper GI bleed and haemodynamic instability. The diagnosis was established with endoscopy and contrast-enhanced computed tomography of the abdomen. After resuscitation, the patient underwent laparoscopic resection of the antral lipoma.
胃脂肪瘤是胃内罕见的良性肿瘤。这些黏膜下病变主要位于胃窦部。小的脂肪瘤通常无症状，多为偶然发现。当肿瘤较大时，可能出现腹痛、胃肠道（GI）出血或胃出口梗阻。我们在此报告一例 54 岁男性胃脂肪瘤病例，该患者表现为大量上消化道出血和血流动力学不稳定。诊断通过内镜和腹部增强 CT 建立。在复苏后，患者接受了腹腔镜下胃窦脂肪瘤切除术。
