Gastric lipoma is an infrequent benign submucosal tumor that is usually asymptomatic. In view of the few reports of this pathology in the Spanish and international bibliography, a new case that debuted as massive upper gastrointestinal hemorrhage is communicated. We reviewed the cases published in Spain to date, emphasizing the methodology of preoperative diagnosis, with special attention to the endoscopic signs characterizing gastric lipoma and computerized axial tomography, which is now viewed as the technique of choice. Therapeutic options are discussed.
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