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CASE REPORT
Gastric xanthelasma: an unusual endoscopic finding
  1. Mona Dhakal1,
  2. O P Dhakal1,
  3. Dhurba Bhandari2,
  4. Amlan Gupta3
  1. 1Department of Medicine, Sikkim Manipal Institute of Medical Science, Gangtok, Sikkim, India
  2. 2Department of Microbiology, Sikkim Manipal Institute of Medical Science, Gangtok, Sikkim, India
  3. 3Department of Pathology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India
  1. Correspondence to Dr Mona Dhakal, mona3dhakal{at}gmail.com

Summary

Gastric xanthelasma is a rarely encountered finding in upper gastrointestinal (GI) endoscopy. It is characterised by yellowish-white plaque in the stomach especially in the antrum or the pyloric region. Histologically it consists of foamy macrophages in the lamina propria. It is a benign condition but its appearance mimics malignancy and it is found to be associated with various conditions, some of which are considered premalignant so, histological confirmation is necessary. We present a case of a 44-year-old man who presented to the medicine outpatient department for intermittent pain in epigastrium for the last 2 years. His physical examination was normal. His haematological and biochemical investigations were also normal. His upper GI endoscopy revealed yellowish-white plaque in fundus of the stomach, which was diagnosed as gastric xanthelasma by histological examination with associated chronic gastritis.

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