EURORAD ESR

Case 16264

Gastric Submucosal Lipoma - Infrequent cause of vague epigastric discomfort

Author(s)
Nagateja Bonala

Vijaya Diagnostic Centre, Hanmakonda, Telangana, India
Email:nagateja@gmail.com
 
Patient
male, 54 year(s)
 
 
  • Figure 1
    Upper GI Endoscopy

    Endoscopic image showing smooth submucosal swelling at the Gastric Antrum

     
    Area of Interest: Stomach; Imaging Technique: Experimental; Procedure: Endoscopy; Special Focus: Neoplasia;
     
     
  • Figure 2
    Computed Tomography
     

    Axial unenhanced section of CT showing a large 6 cm smooth well defined homogeneously hypodense lesion in the stomach at the antrum with mean HU -102 in the fat range.(-70 to -120)

     
    Area of Interest: Stomach; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    On IV contrast, the lesion shows no areas of internal enhancement and no significant extension of lesion beyond the stomach wall.

     
    Area of Interest: Stomach; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Delayed phase image shows apparent change in lesion position owing to the peristaltic movements of stomach. There is no crater formation or pooling of contrast on the surface of the lesion indicating no significant...

     
    Area of Interest: Stomach; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Endoscopic image showing smooth submucosal swelling at the Gastric Antrum
 
Axial unenhanced section of CT showing a large 6 cm smooth well defined homogeneously hypodense lesion in the stomach at the antrum with mean HU -102 in the fat range.(-70 to -120)
 
On IV contrast, the lesion shows no areas of internal enhancement and no significant extension of lesion beyond the stomach wall.
 
Delayed phase image shows apparent change in lesion position owing to the peristaltic movements of stomach. There is no crater formation or pooling of contrast on the surface of the lesion indicating no significant ulceration
 
 
 
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