Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

A Huge Gastric Angiolipoma Presenting with Acute Upper Gastrointestinal Hemorrhage: A Case Report

Author(s): Joo Hyeok Choi, Sung Bin Park*, Jong Beum Lee, Tae-Jin Lee, Hyun Jeong Park and Eun Sun Lee

Volume 19, Issue 8, 2023

Published on: 13 September, 2022

Article ID: e220822207831 Pages: 5

DOI: 10.2174/1573405618666220822095201

Price: $65

Abstract

Background: Angiolipoma is a benign neoplasm mainly composed of adipose tissue and proliferating blood vessels and is relatively rare in the gastrointestinal tract. And among them, gastric angiolipomas are extremely rare and tend to be small.

Case Presentation: We report the clinical and imaging features of a patient with a huge angiolipoma in the stomach and an episode of hematemesis and melena, caused by the ulceration of the gastric mucosa overlying the gastric subepithelial angiolipoma revealed by the endoscopic evaluation. The patient was anemic, and the anemia resolved after local surgical resection of the tumor. We also reviewed the imaging and histological features of the presenting gastric angiolipoma.

Conclusion: Radiologists should be aware of this rare benign gastric tumor that may present with gastrointestinal hemorrhage.

Keywords: Angiolipoma, stomach neoplasms, gastrointestinal hemorrhage, gastrointestinal tract, computed tomography, magnetic resonance imaging.

[1]
Liu YJ, Karamchandani DM. Gastric angiolipoma: A rare entity. Arch Pathol Lab Med 2017; 141(6): 862-6.
[http://dx.doi.org/10.5858/arpa.2016-0239-RS] [PMID: 28557598]
[2]
Nam YH, Park SC, Kim HJ, et al. Angiolipoma of the stomach presenting with anaemia. Prz Gastroenterol 2014; 9(6): 371-4.
[http://dx.doi.org/10.5114/pg.2014.47498] [PMID: 25653734]
[3]
Lou XH, Chen WG, Ning LG, Chen HT, Xu GQ. Multiple gastric angiolipomas: A case report. World J Clin Cases 2019; 7(6): 778-84.
[http://dx.doi.org/10.12998/wjcc.v7.i6.778] [PMID: 30968044]
[4]
DeRidder PH, Levine AJ, Katta JJ, Catto JA. Angiolipoma of the stomach as a cause of chronic upper gastrointestinal bleeding. Surg Endosc 1989; 3(2): 106-8.
[http://dx.doi.org/10.1007/BF00590911] [PMID: 2788928]
[5]
McGregor DH, Kerley SW, McGregor MS. Case report: Gastric angiolipoma with chronic hemorrhage and severe anemia. Am J Med Sci 1993; 305(4): 229-35.
[http://dx.doi.org/10.1097/00000441-199304000-00006] [PMID: 8475948]
[6]
Yeo SM, Lee JK, Kim HS, et al. Gastric angiolipoma resected with endoscopic submucosal dissection. Clin Endosc 2021; 54(3): 432-5.
[http://dx.doi.org/10.5946/ce.2020.146] [PMID: 33715342]
[7]
Hunt J, Tindal D. Solitary gastric Peutz-Jeghers polyp and angiolipoma presenting as acute haemorrhage. Aust N Z J Surg 1996; 66(10): 713-5.
[http://dx.doi.org/10.1111/j.1445-2197.1996.tb00724.x] [PMID: 8855930]
[8]
Sun J, Kang W, Zeng Z, Zhang Z, Wang X. Rare localization of angiolipoma in the gastrointestinal tract: A case series. J Int Med Res 2020; 48(9): 300060520938589.
[http://dx.doi.org/10.1177/0300060520938589] [PMID: 32972286]
[9]
Ferrozzi F, Tognini G, Bova D, Pavone P. Lipomatous tumors of the stomach: CT findings and differential diagnosis. J Comput Assist Tomogr 2000; 24(6): 854-8.
[http://dx.doi.org/10.1097/00004728-200011000-00006] [PMID: 11105700]
[10]
Regge D, Lo Bello G, Martincich L, et al. A case of bleeding gastric lipoma: US, CT and MR findings. Eur Radiol 1999; 9(2): 256-8.
[http://dx.doi.org/10.1007/s003300050664] [PMID: 10101647]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy