title: Giant Gastric Lipoma Presenting as Gastric Outlet Obstruction - A Case Report.
abstract: Gartric lipomas are rare. They are mostly small in size, and usually remain asymptomatic. We report a case of giant (14×11cm) gastric lipoma in a 46-year-old male who presented with features of gastric outlet obstruction clinically mimicking gastric malignancy. Upper endoscopy showed a large smooth polypoid mass with broad base arising from posterior wall of gastric antrum with areas of superficial ulcerations. Multiple endoscopic biopsy specimens were nondiagnostic. A computed tomography (CT) scan of the abdomen revealed a huge cauliflower- like intraluminal mass with lobulated surface projecting into gastric lumen and pyloric canal. The mass demonstrated uniform fat density consistent with lipoma. The case is presented to stress the diagnostic problems related to this condition, and emphasize the role of CT in arriving at a correct diagnosis of lipomatous gastrointestinal tract tumours.
authors.affiliation: Assistant Professor, Department of Radiology, IGIMS , Patna, Bihar, India .
authors.forename: Rajeev Nayan
authors.initials: RN
authors.lastname: Priyadarshi
authors.affiliation: Consultant, Department of Gastro Surgery, Paras HMRI Hospital , Patna, Bihar, India .
authors.forename: Utpal
authors.initials: U
authors.lastname: Anand
authors.affiliation: Consultant, Department of Gastro Surgery, Paras HMRI Hospital , Patna, Bihar, India .
authors.forename: Manish Kumar
authors.initials: MK
authors.lastname: Pandey
authors.affiliation: Senoir Resident, Department of Anatomy, AIIMS , Patna, Bihar, India .
authors.forename: Binita
authors.initials: B
authors.lastname: Chaudhary
authors.affiliation: Consultant, Department of Gastroenterology, Paras HMRI Hospital , Patna, Bihar, India .
authors.forename: Ramesh
authors.initials: R
authors.lastname: Kumar
keywords: Benign tumours; Computed tomography; Gastric malignancy