Gastric sub mucosal lipoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 80 years
Gender: Male
ct

A 38 x 22 mm well-defined oval-shaped fat density submucosal mass is noted at the gastric antrum, inferring lipoma.

A few subcentimeter simple cortical cysts are seen in the kidneys. 

Case Discussion

Gastric lipoma is a location-specific subtype of gastrointestinal lipomas and represents a rare benign mesenchymal stomach tumor. 
​They are typically sessile in morphology, primarily solitary, and most frequently located in the gastric antrum, which may cause gastric outlet obstruction.

They can be definitively diagnosed on CT as well-defined, homogeneous fat-density lesions (-70 to -120 is diagnostic).

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