Published: 2020-02-26

Gastric lipoma: a rare cause of upper gastrointestinal bleed

Kalyanasundarabharathi Chidambaram, Sivakumar Kalyanashanmugam, Amudhan Anbalagan, Rajendran Shanmugasundaram


Lipoma is a rare mesenchymal tumour of stomach (less than 1% of gastric tumours) to present as gastrointestinal bleed. We report a case of upper gastrointestinal bleed from a gastric lipoma in a 42 year male patient who underwent distal gastrectomy for resection of the large submucosal tumour situated in antropyloric region. Most common age of presentation of gastric lipoma is fifth or sixth decade of life and most of these are located in submucosal plane (90% cases) and in antropyloric region (75% cases). Gastric lipomas can be diagnosed by endoscopic means but most often with CT scan which shows characteristic fat attenuation. Small asymptomatic incidentally diagnosed can be safely observed while larger symptomatic tumours are treated by endoscopic or surgical resection which offers cure from this benign lesion.


Distal gastrectomy, Gastric lipoma, Gastrointestinal bleed, Naked fat sign, Submucosal tumour of stomach

Full Text:



Fernandez MJ, Davis RP, Nora PF. Gastrointestinal Lipomas. Arch Surg. 1983;118:1081-3.

Thomson WM, Kende AI, Levy AD. Imaging characteristics of gastric lipomas in 16 adult and pediatric patients. Am J Roentgenol. 2003; 181:981-5.

Heiken JP, Forde KA, Gold RP. Computed tomography as a definitive method for diagnosing gastrointestinal lipomas. Radiol. 1982;142:409-14.

Maderal F, Hunter F, Fuselier G, Gonzales-Rogue P, Torres O. Gastric lipomas – An update of clinical presentation, diagnosis, and treatment. Am J Gastroenterol. 1984;79:964-7.

Chak A. EUS in submucosal tumors. Gastrointest Endosc. 2002;56(4):43-8.

Kang JY, Chan-Wilde C, Wee A, Chew R, Ti TK. Role of computed tomography and endoscopy in the management of alimentary tract lipomas. Gut. 1990;31(5):550-3.

Krasniqi AS, Hoxha FT, Bicaj BX, Hashani SI, Hasimja SM, Kelmendi SM, et al. Symptomatic subserosal gastric lipoma successfully treated with enucleation. World J Gastroenterol. 2008;14(38):5930-2.

Ingason AB, Theodors A, Agustsson AS, Arnarson A. Giant gastric lipoma successfully removed by endoscopic submucosal dissection: case report and systematic review. Scandinavian J Gastroenterol. 2018;53(8):1018-24.