Abstract

ZAMORA, Pedro L; PORTANOVA, Michel; FERRER, Milagros de Jesús  and  SILVA, Jeysson H. Giant gastric lipoma in an elderly patient with digestive obstruction symptoms: First case report in Peru. Acta méd. Peru [online]. 2019, vol.36, n.1, pp.68-71. ISSN 1728-5917.

Gastric lipoma is a very rare condition, which accounts for 5% of gastrointestinal lipomas and for less than 1% of benign tumors of the stomach. Giant gastric lipomas (≥ 4 cm) are extremely rare, and we found only 32 cases reported in the literature. We report the first case of a giant gastric lipoma in Peru, which led to a corporal gastrectomy using a laparotomy approach in a 79-year old woman, who presented with a 2-month history with abdominal and epigastric pain, early fullness, dark stools, and weight loss. Physical examination revealed a 7- to 8-cm palpable mass in the left upper quadrant. Upper gastrointestinal endoscopy revealed an elevated lesion in the proximal third of the gastric body, measuring approximately 30-mm. A CT scan revealed a mass compatible with a gastric lipoma, so a corporal gastrectomy with a laparotomy approach was performed. The anatomopathological report confirmed the diagnosis of a giant gastric lipoma. There were no complications during the postoperative period, and the patient was discharged on the seventh post-op day.

Keywords : Lipoma; Gastrointestinal tract; Neoplasms; Stomach; Gastrectomy.

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