Gastric submucosal lipoma
History of chronic intermittent abdominal pain and dyspepsia.
Abdomen CT scan.
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There is a large well defined fat density lesion seen within the greater curvature wall of the gastric body with small area of soft tissue enhancement is seen within the lesion and few intra-lesional fat stranding. This mass causing luminal narrowing without any evidence of gastric obstruction.
The differential diagnoses for this case include submucosal lipoma and low grade liposarcoma.
However, histopathologically the diagnosis was confirmed as submucosal lipoma with active chronic gastritis at the adjacent gastric wall, which explains the fat stranding inside the lesion.