Chief complaint; The patient is a 50-year-old black woman presented with a 46 weeks history of

episodes of post-prandial epigastric distress. She had been taking large doses of salicylates for the
relief of her critical symptoms. She experienced upper abdominal bloating, and distention after eating
even small amounts of food. It confines for no relationships to the type of food she ate. There was no
fatty or fried food in the porridge and would occur shortly after eating. There was no dysphagia,
hematemesis, or visible melena. X-rays revealed a normal cholecystogram. The X-rays of the upper-
gastrointestinal tract revealed a rounded radiolucent filling defect on the greater curvature of the pre-
pyloric and proportion of the stomach. She was admitted to the hospital, for further study. Physical
examination; the P.E. was generally unremarkable except for an obese protruding abdomen. There
were no abdominal masses, chronic tendonitis, or organomegaly. Laboratory studies; revealed a
normal hemogram, and urinalysis, normal electrolytes, common normal SMA-12 chemical profile.
Stool showed traces of occult blood. Histology stimulated gastric analysis revealed fasting-free HCL
40 milliequivalents per liter, 15 minutes 75 milliequivalents per liter; 30 minutes 70 milliequivalents
per liter; 45 minutes 55 milliequivalents per liter; 60 minutes 53 milliequivalents per liter Gastric
psychology revealed no tumour cells. Gastroscopy was performed and supported the clinical
impression trauma which was that of a hard mass on the greater curvature aspect of the stomach. It
was decided to operate. Pre-operative discussion benign tumours of the stomach are uncommon. They
represent 10 – 15 percent neoplasms of the stomach. Men and women at period are equally affected
with big incidents between 50 and 60 years of age. Pathologically the following types of tumours are
observed; solitary and multiple polyps, adenomas, multiple polyposis, leiomyoma, common neuroma.
A displaced iron of heterotopic pancreas also may present as a tumour. Pancreatic risk are most
commonly located on a greater curvature of the antral. A definite diagnosis cannot be made by X-ray
examination alone, because these small filling defects may resemble those produced by other benign
tumours or even by an early carcinoma. The clinical behaviour of benign gastric neoplasms depends
on their size, location, their tendency to ulcerate, bleed, obstruct or undergo a change. By the way, the
upper-gastric discomfort may occur in some patients whereas others may experience ulcer-like
symptoms or the syndrome of pyloric obstruction if the growth is near the pylorus. In this case,
precious pop-films of the suspicious area noted on fluoroscopy clearly demonstrated the tumour.
Conclusion; It was decided to operate and remove the tumour.