Abstract
Gastric lipomas are uncommon benign tumours that rarely cause significant gastrointestinal bleeding. We present the case of a 66-year-old woman who experienced severe anaemia secondary to an ulcerated gastric lipoma. Despite initial endoscopic attempts at haemostasis, surgical intervention was required. Histopathology confirmed a large, ulcerated submucosal lipoma measuring 85 mm. This case underscores the diagnostic challenges posed by large gastric submucosal tumours and highlights the importance of considering lipomas in the differential diagnoses of gastrointestinal bleeding. Surgical resection remains the definitive treatment for symptomatic or complicated gastric lipomas.