Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2019; 7(6): 778-784
Published online Mar 26, 2019. doi: 10.12998/wjcc.v7.i6.778
Multiple gastric angiolipomas: A case report
Xin-He Lou, Wen-Guo Chen, Long-Gui Ning, Hong-Tan Chen, Guo-Qiang Xu
Xin-He Lou, Wen-Guo Chen, Long-Gui Ning, Hong-Tan Chen, Guo-Qiang Xu, Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Author contributions: Lou XH wrote the paper; Chen WG and Ning LG collected and analyzed the data; Chen HT performed the research; Chen HT and Xu GQ were supervisors; Xu GQ conceived and designed the study.
Informed consent statement: Written informed consent was provided by the patient prior to study inclusion. All details that might disclose the identity of the subject were omitted or anonymized.
Conflict-of-interest statement: The authors of this manuscript have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Guo-Qiang Xu, MD, Chief Doctor, Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. 1193065@zju.edu.cn
Telephone: +86-571-87236729 Fax: +86-571-87236611
Received: November 9, 2018
Peer-review started: November 12, 2018
First decision: December 12, 2018
Revised: January 17, 2019
Accepted: February 26, 2019
Article in press: February 26, 2019
Published online: March 26, 2019
Processing time: 136 Days and 20.5 Hours
Abstract
BACKGROUND

Angiolipoma is a benign tumor and is generally found in subcutaneous tissues. Angiolipomas are rare in the gastrointestinal tract, including the stomach. Preoperative diagnosis of the tumor is difficult, although there are several radiological examinations such as computed tomography and endoscopic ultrasound.

CASE SUMMARY

We report a 24-year-old Chinese man with multiple gastric angiolipomas, with a positive stool occult blood examination. Endoscopic biopsy only showed nonspecific inflammation. Histological examination of the specimen by endoscopic snare resection showed that the tumor consisted of adipose tissues and blood vessels. We also performed a literature review. After the use of proton pump inhibitor, the fecal occult blood test was negative. Due to the difficulty of resecting multiple lesions in the stomach completely and the benign characteristics of angiolipoma, we chose to have regular upper gastrointestinal endoscopy evaluation of the lesion. No evidence of significant change in lesion size was detected after 3-years follow-up.

CONCLUSION

Gastric angiolipoma is rare, and benign neoplasm should be considered when lesions occur submucosally in the gastrointestinal tract.

Keywords: Angiolipoma; Gastric angiolipoma; Endoscopic snare resection; Case report

Core tip: Angiolipoma in the gastrointestinal system is a rare entity, and angiolipoma in the stomach is extremely rare, with difficult preoperative diagnosis. We report a patient with multiple gastric angiolipomas with weakly positive stool occult blood examination. Endoscopic and radiological examinations, such as computed tomography, were used. The specimen was obtained by endoscopic snare resection for histopathological evaluation. Multiple angiolipomas in the gastrointestinal system are extremely rare in the recent literature. We also performed a brief review to investigate the clinical characteristics, diagnosis, and management of gastric angiolipoma.