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Z Gastroenterol 2013; 51(10): 1188-1192
DOI: 10.1055/s-0033-1350449
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© Georg Thieme Verlag KG Stuttgart · New York

Blutender Stöpsel im Magenausgang – seltene Komplikation eines Riesenlipoms im Antrum

Bleeding Plug Obstructing the Pylorus – a Rare Complication of a Gastric Lipoma
T. Fischer
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Publication History

25 June 2013

24 July 2013

Publication Date:
11 October 2013 (online)

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Zusammenfassung

Ein 67-jähriger Patient wurde mit Inappetenz und oberer gastrointestinaler Blutung stationär eingewiesen. Bei der umgehend durchgeführten Notfallgastroskopie zeigte sich als Blutungsquelle ein großer subepithelialer, exulzerierter Tumor im Magenantrum. Von der Tumorulzeration ausgehend ragte ein langer zapfenförmiger Auswuchs über den Pylorus bis ins Duodenum und verursachte hierdurch eine Magenausgangsstenose. Ausgehend von diesem ungewöhnlichen Fall wird ein Literaturüberblick über die Differenzialdiagnostik und Therapiemöglichkeiten gastrointestinaler Lipome gegeben.

Abstract

A 67-year-old patient was admitted to our hospital with lack of appetite and upper gastrointestinal bleeding. The immediately performed emergency gastroscopy showed a giant subepithelial tumour with ulceration located in the antrum. Emerging from the tumourous ulcer was a peg-shaped outgrowth reaching through the pylorus down to the duodenum causing gastric outlet obstruction. Based on this unusual presentation of a gastric giant lipoma we have reviewed the literature concerning differential diagnosis and treatment options.

Schlüsselwörter

gastrointestinale Blutung - obere gastrointestinale Blutung - gastrointestinaler Stromatumor (GIST)

Key words

gastrointestinal bleeding - upper gastrointestinal bleeding - gastrointestinal stromal tumour (GIST)
 

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