Lipoma gástrico pediculado. Reporte de caso

López-Zamudio, José; Leonher-Ruezga, Karla Lisseth; Ramírez-González, Luis Ricardo; Jiménez, Gladis Razo; González-Ojeda, Alejandro

doi:10.1016/j.circir.2015.05.005

Cited by 5 publications

(12 citation statements)

References 9 publications

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“…In 4 (80%) of 5 cases, endoscopic ultrasound (EUS) showed characteristic findings of a lipoma of a hyperechoic, well-localized, submucosal mass, but in one case the findings were atypical[ 17 , 24 , 28 , 31 , 32 ]. EUS is useful to identify the primary wall layer of lipomas[ 22 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

“…After reviewing one case from 1974[ 5 ], cases reported before 1980 were selectively excluded because the preoperative evaluation at the time frequently used relatively obsolete tests such as UGI series and often lacked currently mandatory tests such as EGD. Four case reports, written in Spanish[ 9 , 11 , 13 , 32 ], were professionally translated into English. Case reports of large gastric adenomas which did not satisfy the minimal size criteria of giant gastric lipomas (≥ 4 cm) were systematically excluded[ 3 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

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Systematic review of giant gastric lipomas reported since 1980 and report of two new cases in a review of 117110 esophagogastroduodenoscopies

Cappell¹,

Stevens²,

Amin³

2017

WJG

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AIMTo systematically review the syndrome of giant gastric lipomas, report 2 new illustrative cases.METHODSLiterature systematically reviewed using PubMed for publications since 1980 with following medical subject heading/keywords: (“giant lipoma”) AND (“gastric”) OR [(“lipoma”) and (“gastric”) and (“bleeding”)]. Two authors independently reviewed literature, and decided by consensus which articles to incorporate. Computerized review of pathology/endoscopy records at William Beaumont Hospitals, Royal Oak and Troy, Michigan, January 2005-December 2015, revealed 2 giant gastric lipomas among 117110 consecutive esophagogastroduodenoscopies (EGDs), which were thoroughly reviewed, including re-review of original endoscopic photographs, radiologic images, and pathologic slides.RESULTSGiant gastric lipomas are extremely rare: 32 cases reported since 1980, and 2 diagnosed among 117110 consecutive EGDs. Average patient age = 54.5 ± 17.0 years old (males = 22, females = 10). Maximal lipoma dimension averaged 7.9 cm ± 4.1 cm. Ulcerated mass occurred in 21 patients. Lipoma locations: antrum-17, body-and-antrum-4, antrum-intussuscepting-into-small-intestine-3, body-2, fundus-1, and unspecified-5. Intramural locations included submucosal-22, subserosal-2, and unspecified-8. Presentations included: acute upper gastrointestinal (UGI) bleeding-19, abdominal pain-5, nausea/vomiting-5, and asymptomatic-3. Symptoms among patients with UGI bleeding included: weakness/fatigue-6, abdominal pain-4, nausea/vomiting-4, early-satiety-3, dizziness-2, and other-1. Their hemoglobin on admission averaged 7.5 g/dL ± 2.8 g/dL. Patients with GI bleeding had significantly more frequently ulcers than other patients. EGD was extremely helpful diagnostically (n = 31 patients), based on characteristic endoscopic findings, including yellowish hue, well-demarcated margins, smooth overlying mucosa, and endoscopic cushion, tenting, or naked-fat signs. However, endoscopic mucosal biopsies were mostly non-diagnostic (11 of 12 non-diagnostic). Twenty (95%) of 21 abdominal CTs demonstrated characteristic findings of lipomas, including: well-circumscribed, submucosal, and homogeneous mass with attenuation of fat. Endoscopic-ultrasound showed characteristic findings in 4 (80%) of 5 cases: hyperechoic, well-localized, mass in gastric-wall-layer-3. Transabdominal ultrasound and UGI series were generally less helpful. All 32 patients underwent successful therapy without major complications or mortality, including: laparotomy and full-thickness gastric wall resection of tumor using various surgical reconstructions-26; laparotomy-and-enucleation-2; laparoscopic-transgastric-resection-2; endoscopic-mucosal-resection-1, and other-1. Two new illustrative patients are reported who presented with severe UGI bleeding from giant, ulcerated, gastric lipomas.CONCLUSIONThis systematic review may help standardize the endoscopic and radiologic evaluation and therapy of patients with this syndrome.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Systematic review of giant gastric lipomas reported since 1980 and report of two new cases in a review of 117110 esophagogastroduodenoscopies

Cappell¹,

Stevens²,

Amin³

2017

WJG

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“…Well-differentiated liposarcomas account for 40% of all liposarcomas. Their peak incidence is between the 5th and 7th decades [2 , 7 , 13 , 14] .…”

Section: Discussionmentioning

confidence: 99%

“…The cushion sign is demonstrated when the forceps leave a mark when pressed against the lipoma. The naked fat sign is the visible, exposed fatty tissue on the surface of the lipoma [12 , 13] . Endoscopic biopsy is usually inconclusive since the tumor is frequently submucosal.…”

Section: Discussionmentioning

confidence: 99%

Gastric lipoma of the pylorus – case report of an incidental finding

Georgiev

Tsvetkova

Aleksova

et al. 2021

Radiology Case Reports

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Gastric lipomas are very rare benign tumors. Only around 217 cases have been reported. Most gastric lipomas are found incidentally; however, larger neoplasms can be symptomatic. The presented 64 years old male with incidental finding of pyloric lipoma adds another example to the few documented in the literature. The patient had symptoms of breath shortness and lack of energy two months after COVID 19 pneumonia. A low dose CT scan with iodine contrast enhancement of the chest and upper abdomen led to the diagnose. The diagnosis of gastric lipoma can be achieved through diagnostic imaging or the combination of endoscopic techniques. Treatment can be carried out by endoscopy, robotic or classical surgery.

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“…principalmente en el antro (75 %), sin reportes actuales de aparición en el cardias o píloro (3,7). Histológicamente, consisten en una proliferación de tejido adiposo maduro, con septos fibrovasculares delgados, rodeados por una cápsula fibrosa (5,7).…”

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Lipomatosis Gástrica

Ramos-Calderón

Solano-Mariño

López-Panqueva

2020

Rev Colomb Gastroenterol

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La lipomatosis gástrica es una enfermedad infrecuente caracterizada por múltiples lesiones tumorales benignas (lipomas), que acorde a su tamaño pueden producir una variedad de síntomas. Por lo general, la enfermedad es documentada incidentalmente en estudios imagenológicos que se realizan para estudiar otras enfermedades y los hallazgos patológicos contribuyen a tener una certeza en el diagnóstico de esta patología. Por el momento, no hay un tratamiento definido para las masas pequeñas y asintomáticas, mientras que para las masas grandes (> 3-4 cm) o sintomáticas se sugiere la resección quirúrgica de las lesiones.

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Lipoma gástrico pediculado. Reporte de caso

Abstract: The gastric lipoma is a rare benign entity that can mimic a malignancy, in our case an incidental finding which was managed by partial gastrectomy with satisfactory postoperative results.

Cited by 5 publications

References 9 publications

Systematic review of giant gastric lipomas reported since 1980 and report of two new cases in a review of 117110 esophagogastroduodenoscopies

Systematic review of giant gastric lipomas reported since 1980 and report of two new cases in a review of 117110 esophagogastroduodenoscopies

Gastric lipoma of the pylorus – case report of an incidental finding

Lipomatosis Gástrica

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