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Large gastric lipoma presenting with GI bleeding

机译:大胃脂肪瘤伴消化道出血

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A 60-year-old man presented with melena, easy fati-gability of 2 weeks' duration, and pallor. The results of systemic examination were normal. His hemoglobin was 7.2 g/dL, with normal blood biochemistry. Upper GI endoscopy (UGIE) showed a large smooth submu-cosal bulge along the lesser curvature of the stomach (Fig. 1). Contrast-enhanced CT (CECT) of the abdomen showed a well-defined encapsulated submucosal fat-containing mass along the lesser curvature of the stomach, with a vessel running through it (Fig. 2). The patient received a transfusion of packed red blood cells and underwent laparotomy. A large (15 X 12 cm) submucosal tumor was excised through an anterior gast-rotomy (Fig. 3).
机译:一名60岁的男性表现出黑斑病,持续2周的容易肥胖和苍白。全身检查结果正常。他的血红蛋白为7.2 g / dL,血液生化正常。上消化道内窥镜检查(UGIE)沿较小的胃曲率显示出较大的平滑黏膜下凸起(图1)。腹部的对比度增强CT(CECT)沿较小的胃曲率显示出明确界定的囊状粘膜下层含脂肪团,血管穿过其中(图2)。该患者接受了充血红细胞的输血并接受了剖腹手术。通过前胃切除术切除了一个大的(15 X 12 cm)粘膜下肿瘤(图3)。

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