# Laparoscopic Resection of a Gastric Lipoma Presenting With Gastrointestinal Bleeding: A Case Report

## TL;DR

A 66-year-old woman with a large gastric lipoma causing severe anemia required surgery after failed endoscopic treatment.

## Contribution

This case highlights the rare but severe presentation of gastric lipomas and the need for surgical intervention.

## Key findings

- Large ulcerated gastric lipomas can cause significant gastrointestinal bleeding.
- Endoscopic haemostasis may fail, necessitating surgical resection.
- Histopathology confirmed the diagnosis of a submucosal lipoma.

## Abstract

Gastric lipomas are uncommon benign tumours that rarely cause significant gastrointestinal bleeding. We present the case of a 66-year-old woman who experienced severe anaemia secondary to an ulcerated gastric lipoma. Despite initial endoscopic attempts at haemostasis, surgical intervention was required. Histopathology confirmed a large, ulcerated submucosal lipoma measuring 85 mm.

This case underscores the diagnostic challenges posed by large gastric submucosal tumours and highlights the importance of considering lipomas in the differential diagnoses of gastrointestinal bleeding. Surgical resection remains the definitive treatment for symptomatic or complicated gastric lipomas.