Laparoscopic resection of a gastric lipoma following massive upper gastrointestinal bleeding: A case report.

Autor:	Chaouch MA; Department of Visceral and Digestive, Monastir University Hospital, Monastir, Tunisia. Electronic address: docmedalichaouch@gmail.com., Taieb AH; Department of Visceral and Digestive, Monastir University Hospital, Monastir, Tunisia., Maaref M; Department of Visceral and Digestive, Monastir University Hospital, Monastir, Tunisia., Baccari L; Department of Visceral and Digestive, Monastir University Hospital, Monastir, Tunisia., Saad J; Department of Visceral and Digestive, Monastir University Hospital, Monastir, Tunisia., Noomen F; Department of Visceral and Digestive, Monastir University Hospital, Monastir, Tunisia.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Jul; Vol. 120, pp. 109876. Date of Electronic Publication: 2024 Jun 06.
DOI:	10.1016/j.ijscr.2024.109876
Abstrakt:	Importance and Background: Gastric lipomas are rare submucosal tumours that account for less than 1 % of all stomach tumours. Despite their benign nature, they can lead to significant clinical manifestations such as gastric outlet obstruction and massive gastrointestinal haemorrhage. Case Presentation: We report the case of a 50-year-old woman with no prior comorbidities, presenting with severe upper gastrointestinal bleeding. Diagnostic imaging and endoscopy identified a submucosal mass in the prepyloric area, later confirmed to be a gastric lipoma. The surgical intervention involved laparoscopic resection of the mass. Discussion: This case underscores the importance of considering gastric lipomas in differential diagnoses of gastrointestinal bleeding. While often asymptomatic, their potential to cause acute complications necessitates awareness among clinicians. The management strategies range from observational approaches in asymptomatic cases to surgical excision in symptomatic cases. Conclusions: Gastric lipomas, though rare and often benign, can present with life-threatening complications. Accurate diagnosis using a combination of endoscopy and imaging, particularly CT scans, is critical for effective management. Surgical removal remains the definitive treatment for symptomatic lipomas, highlighting the need for a tailored approach based on the tumour's characteristics and location. Competing Interests: Conflict of interest statement No conflict of interest to disclose. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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