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- W2978809434 abstract "FigureLipomas constitute about 3% of gastrointestinal tumors, and mostly seen in the colon (60-75%) and small intestines (30%). Only about 5% lipomas are gastric in occurrence, and are mostly asymptomatic and hence incidentally found. Rarely, they may become symptomatic resulting in gastrointestinal bleeding (due to venous stasis), iron deficiency anemia, gastric outlet obstruction and intussusception (due to prolapse of the mass). Endoscopy reveals a classic yellowish smooth sub-epithelial mass, with frequently styled features like “tenting”, “cushion sign” or “naked fat sign”. Endoscopic Ultrasound (EUS) is highly sensitive in characterizing lipomas as hyperechoic lesions arising from submucosal layer. Symptomatic lesions are surgically managed with laparoscopic or open resection, or endoscopic submucosal dissection. We discuss a unique case of gastric lipoma with an overlying large arterio-venous malformation (AVM), causing blood loss and anemia. Argon plasma coagulation (APC) treatment was planned for AVM, during which the lipoma was seen ‘melting away’ with fat extruding from the lesion. Repeat EUS demonstrated significant decrease in size of lipoma. To our knowledge, this is the first case describing partial dissolution of lipoma with APC. We speculate that APC may be used for management of symptomatic gastric lipomas by endoscopists not trained in removal of sub-epithelial lesions.Figure 1Figure 2Figure 3" @default.
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- W2978809434 date "2016-10-01" @default.
- W2978809434 modified "2023-10-15" @default.
- W2978809434 title "Endoscopic “Melt Away Sign”: Dissolution of Gastric Lipoma with Argon Plasma Coagulation" @default.
- W2978809434 doi "https://doi.org/10.14309/00000434-201610001-02430" @default.
- W2978809434 hasPublicationYear "2016" @default.
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