Gastric lipoma is a rare benign gastric tumor, usually found incidentally. Although most gastric lipomas are asymptomatic, they can cause abdominal pain, gastrointestinal bleeding and obstruction.

A 51-year-old male patient presented with complaints of epigastric pain and haematemesis. The endoscopy showed an ulcerated polypoid lesion in the anterior gastric wall, 4cm in diameter, endoscopically unresectable. The computed tomography scan revealed no other lesions and the endoscopic ultrasound suggested a lipoma of the gastric wall. Preoperatively the lesion was marked with china ink. The patient underwent a laparoscopic atypical gastrectomy, and the histology showed a gastric lipoma.

Despite its rarity, gastric lipoma should be diagnosed histologically. Symptomatic benign gastric lesions not amenable to endoscopic removal should be excised by surgery. Laparoscopic atypical gastrectomy is an effective, safe and minimally invasive technique.

 

Gastric Lipoma; Laparoscopy; Atypical Gastrectomy