Korean J Gastrointest Endosc > Volume 38(4); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(4): 214-217.
상부위장관 출혈을 보인 거대 위 지방종
문희석ㆍ성재규ㆍ정현용ㆍ강대영*
충남대학교 의과대학 내과학교실, *병리학교실
A Case of Giant Gastric Lipoma Showing Upper Gastrointestinal Bleeding
Hee Seok Moon, M.D., Jae Kyu Sung, M.D., Hyun Yong Jeong, M.D. and Dae Young Kang, M.D.*
Departments of Internal Medicine and *Pathology, Chungnam National University College of Medicine, Daejeon, Korea
Abstract
Gastric lipoma is a typical benign submucosal tumor that is usually asymptomatic and it is generally detected incidentally when performing upper GI endoscopy. 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. This tumor is diagnosed and differentiated from other malignant and submucosal tumors on the basis of its characteristic findings at endoscopy and on computed tomography, magnetic resonance imaging and endoscopic ultrasonography. We report here on the case of a 58-year-old female with epigastric discomfort and melena; a 4.5×4 cm ulcero-fungating mass was detected on the anterior wall of the gastric antrum. Surgical subtotal gastrectomy was performed and the lesion was diagnosed as gastric lipoma. (Korean J Gastrointest Endosc 2009;38:214-217)
Key Words: Gastric lipoma, Submucosal tumor, Bleeding
주요어: 위 지방종, 점막하 종양, 출혈
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