HighlightsThe article represents giant gastric lipoma with serious GI bleeding. A rare finding of a rare disease that carries significant morbidity and mortality.To review the literature and to highlight the awareness of this disease and familiarity of its typical radiological findings for reaching proper diagnosis especially in acute setting.TO emphasize that stomach preserving surgery is an optimal surgical option (enucleation is better than resection).

Highlights Intra-Gastric Balloon use as non-operative strategy for bariatric patients. Rise of adverse life-threatening outcomes of Intra-Gastric Balloon. Pancreatitis could be secondary to pancreas compression by the Intra-Gastric Balloon. Need for the recognition of balloon pancreatitis as a complication of Intra-Gastric Balloon insertion.