K Sendhil Kumar
Gateway Clinic and Hospital, India
Title: Laparoscopic Management of an Unusual cause of Massive Upper Gastrointestinal Bleeding
Biography
Biography: K Sendhil Kumar
Abstract
Lipoma of the stomach is a rare tumor. A majority of these tumors were managed by endoscopic and open surgical intervention, with few data published which were managed by total laparoscopy for massive bleeding from huge gastric lipoma. We report a case of a 67-year-old man with massive upper gastrointestinal bleeding who was diagnosed as having a large bleeding gastric lipoma that was managed successfully with laparoscopic excision. Lipomas are benign tumours of adipose tissue. Gastric lipomas are rare and account for less than 1% of all tumors of the stomach and 5% of all gastrointestinal lipomas. They typically occur in the 5th or 6th decade of life with equal sex incidences and 75% occur in the antral region in the submucosa or serosal layers. They are usually asymptomatic and are commonly detected incidentally; however, they may present with gastric outlet obstruction and upper gastrointestinal bleeding. Approximately 220 cases have been reported in the medical literature and further only three cases have been reported presenting with massive upper gastrointestinal haemorrhage. A case of gastric lipoma with massive GI bleed is reported and relevant management options and differential diagnosis discussed.