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Gastric lipomatosis.
1Department of Surgery, Jeju National University School of Medicine, Jeju, Korea.
Journal of Gastric Cancer
|November 15, 2011
Summary
Gastric lipomatosis, a rare condition, involves benign fatty tumors in the stomach. This case highlights computerized tomography (CT) for diagnosis and surgery for symptomatic cases with extensive gastric involvement.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Gastric lipomatosis is an exceptionally rare benign condition characterized by the proliferation of mature adipose tissue within the gastric wall.
- It can present with nonspecific symptoms, making diagnosis challenging.
Observation:
- A 69-year-old woman presented with epigastric soreness.
- Computerized tomography (CT) revealed extensive, fat-containing submucosal masses compressing the gastric antrum and body, sparing the lesser curvature.
- A subtotal gastrectomy was performed due to the symptomatic nature and extent of the disease.
Findings:
- Pathology confirmed gastric lipomatosis with multiple gastric ulcerations.
- Extensive disruptions of the muscular layers were noted, indicating significant disease impact.
- CT imaging proved effective in characterizing the submucosal mass and its extent.
Implications:
- CT is crucial for characterizing large submucosal gastric masses, detailing their specific nature and extent.
- Surgical intervention is recommended for symptomatic gastric lipomatosis, particularly in cases with extensive gastric involvement or multiple lipomas.
- This case underscores the importance of advanced imaging in diagnosing and managing rare gastrointestinal conditions.
