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Case Reports
. 2019 Feb 13:2019:5749830.
doi: 10.1155/2019/5749830. eCollection 2019.

A Rare Case of Gastric Lipoma Presenting with Gastric Outlet Obstruction Treated Endoscopically

Ahmad Sharayah  1 , Dileep C Unnikrishnan  1 , Akhila Arya Perumangote Vasudevan  2 , Noor Hajjaj  3 , Rishi Raj  1 , Kenneth Belitsis  4
Affiliations
Case Reports

A Rare Case of Gastric Lipoma Presenting with Gastric Outlet Obstruction Treated Endoscopically

Ahmad Sharayah et al. Case Rep Gastrointest Med. .

Abstract

An 85-year-old male referred to the Gastroenterology (GI) clinic with three-month history of failure to thrive and three-week history of nausea, vomiting, and melanotic stools. Ulcerative mass obstructing gastric outlet was found on endoscopy and on follow-up CT abdomen a homogeneous submucosal mass in the gastric antrum was identified. Radiological diagnosis of giant gastric lipoma was established and patient was evaluated for surgery and, however, was rendered unfit for surgery due to his comorbid conditions. Patient was taken for endoscopic resection of the mass. On endoscopy, only partial resection was achieved due to the size of the mass, but endoloops were deployed at the stalk at the end of the procedure in hope of limiting blood supply to the lesion. On six-week follow-up endoscopy, patient's mass had completely disappeared with limited scar tissue at the site.

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Figures

Figure 1
Figure 1
First endoscopy showing large gastric antral mass with friable ulcer at the top.
Figure 2
Figure 2
Computerized tomography abdomen. Black arrow showing gastric antral submucosal mass which is homogeneous in density and has sharp rounded borders. This is indicative of gastric lipoma.
Figure 3
Figure 3
Endoscopic image of the mass after deployment of two gastric endoloops at the base.
Figure 4
Figure 4
Near complete resolution of the mass with minimal scarring and residual tissue at the site on six-week follow-up endoscopy.
See this image and copyright information in PMC

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