Giant gastric lipoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Workup for abdominal pain, dyspepsia and vomiting.

Patient Data

Age: 50 years
Gender: Female
ct

A 104× 71× 70 mm well-defined lobulated intraluminal sub-mucosal mass with a relatively homogeneous fat density is noted in the stomach. The mass causes gastric luminal narrowing, particularly in the proximal body, without signs of obstruction. Mucosal irregularity is pointed out on the mass, suggesting gastric ulceration. The adjacent gastric serosa is intact.

Case Discussion

Giant sub-mucosal fat density gastric mass, pathology-proven gastric lipoma.

Giant gastric lipomas (>10 cm) are extremely rare and may cause pain, upper gastrointestinal bleeding, dyspepsia and/or gastric outlet obstruction. Although gastric lipomas are typically sessile and often located in the antrum but in this case, the gastric lipoma was completely endophytic and located in the proximal of the body.

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