Gastric Lipoma Presenting as a Case of Gastric Outlet Obstruction and Anaemia

Abstract

Gastric lipomas are relatively rare tumours. They account for 5% of all GIT lipomas and 3% of all benign tumours of stomach. They are difficult to diagnose since the lipoma is located submucosally and may not be clearly seen on gastroscopy. A fullness of the gastric wall combined with clinical features of gastric outlet obstruction, anaemia due to haematemesis can lead to a suspicion of this condition. CECT scan of the abdomen and endoscopic ultrasound are good tools to diagnose this condition accurately. We encountered a case where our patient had features of both unexplained anaemia and gastric outlet obstruction and 3 endoscopies were needed to detect this condition. The patient was successfully operated upon and discharged.