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Case Reports
. 2008 Oct 14;14(38):5930-2.
doi: 10.3748/wjg.14.5930.

Symptomatic subserosal gastric lipoma successfully treated with enucleation

Avdyl-Selmon Krasniqi  1 , Faton-Tatil Hoxha, Besnik-Xhafer Bicaj, Shemsedin-Isuf Hashani, Shpresa-Mehmet Hasimja, Sadik-Mal Kelmendi, Lumturije-Hasan Gashi-Luci
Affiliations
Case Reports

Symptomatic subserosal gastric lipoma successfully treated with enucleation

Avdyl-Selmon Krasniqi et al. World J Gastroenterol. .

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.

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Figures

Figure 1
Figure 1
CT scan image showing a well-defined oval mass on the antro-pyloric part of stomach.
Figure 2
Figure 2
Intraoperative view showing a yellowish subserosal neoplasm on the anterior wall of gastric antrum during extirpation.
Figure 3
Figure 3
Histopathology confirming the diagnosis of lipoma containing mature fat cells with slight variation in size and shape (HE, × 100).
See this image and copyright information in PMC

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