Symptomatic subserosal gastric lipoma successfully treated with enucleation

Abstract

Gastric lipomas are rare tumors, accounting for 2%-3% of all benign gastric tumors. They are of submucosal or extremely rare subserosal origin. Although most gastric lipomas are usually detected incidentally, they can cause abdominal pain, dyspeptic disorders, obstruction, invagination, and hemorrhages. Subserosal gastric lipomas are rarely symptomatic. There is no report on treatment of subserosal gastric lipomas in the English literature. We present a case of a 50-year-old male with symptomatic subserosal gastric lipoma which was successfully managed with removal, enucleation of lipoma, explorative gastrotomy and edge resection for histology check of gastric wall. The incidence of gastric lipoma, advanced diagnostic possibilities and their role in treatment modalities are discussed.

Laparoscopic transgastric resection of a large pedunculated gastric lipoma

“…These techniques are normally more suitable for smaller lesions. With the open approach, methods of excision vary from enucleation to gastrectomy 5 9. With the adoption of minimally invasive surgery, its safety is being increasingly established for treating gastric tumours 10.…”

Two cases of rare benign mucosal lesions of the stomach

“…Gastric lipomas constitute less than 3% of benign gastric tumours 1. Owing to its rarity, which account for ∼3% of all GI lipomas, there are only a couple of case reports of gastric lipomas in the English literature.…”

“…Gastrointestinal (GI) lipomas are rare lesions and gastric lipomas account for 3–5% of all these tumours and fewer than 1% of all gastric tumours 1. They typically occur in the fifth or sixth decade of life with equal sex incidence 1.…”

“…They typically occur in the fifth or sixth decade of life with equal sex incidence 1. Rarity of these lesions prompted us to report our experience with two patients with gastric lipomas who presented with symptoms related to a gastric mass and diagnoses were established on resected specimens.…”

Gastric lipoma

“…They are usually submucosal localized to the antrum and composed of mature adipose tissue [2]. Although they are usually asymptomatic and detected incidentally, severe symptoms can occur with larger lesions, such as bleeding, abdominal pain or obstruction [3][4][5]. The appearance of abdominal disorders depends on the size and location of lipomas [2].…”