Giant symptomatic gastric lipoma: A case report and literature review

Abstract

HighlightsGastric lipomas may become symptomatic when ≥10 cm, at which point they are classified as giant gastric lipomas.Giant gastric lipomas are extremely rare, with only 6 prior cases reported in the English worldwide literature since 1980.Gastric lipoma density is similar to peripheral fat on CT, −80 to −120 Hounsfield units, which is nearly pathognomonic.Circumferential excision of gastric lipomas with a clear margin of normal tissue is adequate for symptomatic resection.Preservation of gastric continuity via gastrotomy and primary closure avoids complications of gastrojejunostomy.

Giant gastric lipoma presenting with melaena: A case report and review of the literature

“…On esophagogastroduodenoscopy, these lesions appear as soft, sharply defined, submucosal masses, often yellow in color as opposed to the surrounding pink mucosa. Several signs, such as tenting sign, cushion sign, and naked fat sign, have been described to help identify lipomas on endoscopic examination [15]. Sullivan et al, in their review, investigated the multimodality imaging findings of gastric lipomas.…”

Images of the month 2: A rare case of haematemesis from a gastric submucosal lesion

“…The presence of septations or marginal defects may indicate ulceration or very rarely a liposarcoma. 2 Larger lesions may present with dyspepsia symptoms, gastric outlet obstruction or bleeding. 2 The latter is rare and only a few cases have been reported to date.…”

“…2 Larger lesions may present with dyspepsia symptoms, gastric outlet obstruction or bleeding. 2 The latter is rare and only a few cases have been reported to date. [1][2][3] Our case illustrates rare bleeding from a large gastric lipomatous lesion due to extensive ulceration into the mucosa.…”

“…2 The latter is rare and only a few cases have been reported to date. [1][2][3] Our case illustrates rare bleeding from a large gastric lipomatous lesion due to extensive ulceration into the mucosa. The bleeding might have been aggravated by the use of the directly acting anticoagulant (edoxaban).…”

Giant Lipoma in the Fronto-Temporo-Parietal Region in an Adult Man: Case Report and Literature Review

“…1 In rare cases, lipomas may appear in the other regions of the human body or even in internal organs such as heart or stomach. [2][3][4] Usually the resulting lesions are harmless and painless, therefore do not require treatment. However, if lipomas encroach on joints, nerves or blood vessels, their removal may be necessary.…”