[A Symptomatic Giant Esophageal Lipoma: Case Report and Overview of Benign Subepithelial Tumors]

Subepithelial tumors of the esophagus are rare findings, with lipomas representing a particularly uncommon entity. They account for only about 0.4-1 % of benign esophageal tumors, but despite their benign nature, they can become symptomatic due to their size and location. Modern endoscopic techniques such as endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), or submucosal tunneling endoscopic resection (STER) allow for safe and minimally invasive removal in selected cases.

We report the case of a 93-year-old patient who presented to the emergency department with hematemesis and dysphagia. Diagnostic evaluation using computed tomography and endoscopy revealed a 7 cm pedunculated submucosal tumor in the upper esophagus. Due to the pronounced symptoms and tumor size, endoscopic resection was performed using clip ligation and a needle knife. Histopathological analysis confirmed the diagnosis of a lipoma. The patient recovered without complications.

This case illustrates that endoscopic resection of symptomatic esophageal lipomas is a safe and effective treatment option even in very elderly patients.