Rezaii Seifollah, Enshaii Ali, Zahedi Afshin, Amestejani Morteza, Herik Dizaji Mohsen
Department of General Surgery, Urmia University of Medical Sciences, Urmia, Iran.
Caspian J Intern Med. 2021 Fall;12(4):622-625. doi: 10.22088/cjim.12.4.622.
Lipomas are common harmless tumors that are created in the colon in the gastrointestinal tract. The aim of this study was to report a case study on gastrointestinal lipoma with GIB.
A 38-year-old man was admitted to the hospital because of gastrointestinal bleeding for two months in December 2017. He had abdominal pain, dyspeptic disorders, vomiting, melena, and intermittent hematemesis without significant weight loss. Upper gastrointestinal endoscopy indicated a large subepithelial lesion in the antrum of the stomach with near-normal mucosa. Endoscopic ultrasound (EUS) showed a large well-defined heterogeneous mass-like lesion in the antrum of the stomach. A subtotal gastrectomy was done in the patient. The histology results of the separated samples presented a gastric lipoma.
Gastric lipoma is often yellowish. It might ulcerate and bleed, but it does so, only rarely. It most frequently occurs as a solitary and smooth mass in the gastric antrum.
脂肪瘤是胃肠道中结肠部位常见的无害肿瘤。本研究旨在报告一例伴有胃肠道出血的胃肠道脂肪瘤病例。
一名38岁男性于2017年12月因两个月的胃肠道出血入院。他有腹痛、消化不良、呕吐、黑便和间歇性呕血症状，但体重无明显减轻。上消化道内镜检查显示胃窦部有一个大的上皮下病变，黏膜接近正常。内镜超声（EUS）显示胃窦部有一个边界清晰的大的异质性肿块样病变。对该患者进行了胃次全切除术。分离样本的组织学结果显示为胃脂肪瘤。
胃脂肪瘤通常呈淡黄色。它可能会溃疡和出血，但这种情况很少见。它最常表现为胃窦部的单个光滑肿块。
