Giant symptomatic gastric lipoma: A case report and literature review

• DOI: 10.1016/j.ijscr.2018.08.061
• Publication Date: 2018-09-09T09:55:56Z
• Authors: Julia R. Amundson; David Straus; Basem Azab; Sandy Liu; Monica T. Garcia ...; Danny Yakoub
• Keywords: Pathognomonic; Exploratory laparotomy

Lipomas are uncommon tumors of the gastrointestinal tract; gastric lipomas account for <1% all encountered (Nickloes and Sutphin [1]). Giant lipomas, defined as ≥10 cm, exceedingly rare with only 6 cases reported since 1980 (Cappell et al., Termos Singh Ramaraj Rao Priyadarshi Neto al. [3–9]). We hereby present a case giant lipoma that became symptomatic seven years after its initial identification was excised preserving continuity. Our patient is 58-year-old African American male 3 cm mass incidentally found on CT in 2010. In September 2017, presented severe epigastric pain, nausea, vomiting. Abdominal scan revealed an increase size patient's lesion to 7.2 × 10.3 7.3 cm. He underwent exploratory laparotomy transverse anterior gastrotomy primary closure. Pathologic examination 12 submucosal, well-circumscribed, non-encapsulated comprised mature adipose tissue without atypia or mitotic figures, consistent lipoma. The majority asymptomatic, identified round/ovoid masses low attenuation homogenous appearance, measuring −80 −120 Hounsfield units. These findings nearly pathognomonic. Due benign nature circumferential excision clear margin normal adequate resection. This second report continuity partial gastrectomy, avoiding gastrojejunostomy complications. Fatty tract, yet must be differential when units similar peripheral fat.