Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Aug 4;85(10):5110-5112.
doi: 10.1097/MS9.0000000000001131. eCollection 2023 Oct.

Gastric lipoma in the pyloric antrum: a rare case report

Moatasem A Hussein Al-Janabi  1 , Jollanar G Mohammad  2 , Aya Y Mohsen  2 , Zeina Alabbas  3 , Omeed Rasheed  4 , Samir Kannan  4 , Ali K Daoud  3
Affiliations
Case Reports

Gastric lipoma in the pyloric antrum: a rare case report

Moatasem A Hussein Al-Janabi et al. Ann Med Surg (Lond). .

Abstract

Introduction and importance: Gastric lipoma (GI) is a rare benign tumor of the stomach that arises from adipose tissue. It is often asymptomatic and is incidentally diagnosed on endoscopy or imaging studies.

Case presentation: A 66-year-old male presented with epigastric pain and acid reflux. Upper gastrointestinal endoscopy revealed a 3-cm submucosal lesion in the pyloric antrum. The patient underwent a subtotal gastrectomy. The specimen was sent to the pathology department. Based on the microscopic findings, the diagnosis was a submucosal GI.

Discussion: The diagnosis of GIs is usually made incidentally during imaging studies. Treatment options include endoscopic or surgical resection; however, conservative management can be considered in asymptomatic patients. Periodic radiological surveillance is recommended to monitor growth and assess for any malignant transformation.

Conclusion: GI is a rare tumor that is usually asymptomatic but can present with nonspecific gastrointestinal symptoms. The diagnosis is confirmed through histological examination, and imaging techniques such as computed tomography or MRI can be useful in preoperative evaluation. Surgical resection remains the primary treatment, while endoscopic resection may be considered in certain cases.

Keywords: benign; fat tissue; gastric; lipomas; tumors.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

Figures

Figure 1
Figure 1
A gross photograph of the objective plate shows the submucosal lipoma, where both gastric mucosa (blue arrow) and lipoma (green arrow) are present.
Figure 2
Figure 2
A microscopic image of the mass shows benign and well-circumscribed adipose tissue in the submucosa. Overlying mucosa is usually normal (hematoxylin and eosin stain) (×40).
See this image and copyright information in PMC

References

    1. Krasniqi AS, Hoxha FT, Bicaj BX, et al. Symptomatic subserosal gastric lipoma successfully treated with enucleation. World J Gastroenterol 2008;14:5930–5932. - PMC - PubMed
    1. Nickloes TA, Sutphin DD. Lipomas: background, pathophysiology and etiology. Medscape (2017). Retrieved 12/15/2017.https://emedicine.medscape.com/article/191233
    1. Saltzman JR, Carr-Locke DL, Fink SA. Lipoma case report. MedGenMed 2005;7:16. - PMC - PubMed
    1. Tomofuji K, Watanabe J, Ishida N, et al. Gastric liposarcoma resected by laparoscopic total gastrectomy to achieve a wide surgical margin. BMJ Case Rep 2017;2017:bcr2017221703. - PMC - PubMed
    1. Ramdass MJ, Mathur S, Seetahal-Maraj P, et al. Gastric lipoma presenting with massive upper gastrointestinal bleeding. Case Rep Emerg Med 2013;2013:506101. - PMC - PubMed

Publication types