A Case Report on Gastric Lipoma: An Unusual Etiology of Gastrointestinal Bleeding

Gastric lipomas are rare, benign tumors of the stomach. They are often asymptomatic and are typically discovered incidentally during imaging studies or endoscopic evaluations. When symptomatic, they may present with nonspecific gastrointestinal (GI) symptoms such as abdominal pain, bleeding, or obstruction. We report a case of a 60-year-old male patient who presented with melena, abdominal pain, and fatigue. Severe anemia was detected, and computed tomography (CT) abdomen and pelvis with contrast revealed a 6.5 cm subepithelial mass in the stomach, initially suspected to be a liposarcoma. However, a biopsy confirmed a benign gastric lipoma. The patient underwent a successful robotic gastric wedge resection and recovered uneventfully. This case highlights the importance of considering gastric lipoma as a rare but significant cause of GI bleeding. Accurate diagnosis through endoscopic evaluation and imaging, followed by curative surgical resection, can lead to favorable outcomes.