GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW
Autor(a) principal: | |
---|---|
Data de Publicação: | 2024 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.1016 |
Resumo: | Introduction: Gastric lipomas are rare and defined as giant when they are greater than 4 cm, which is exceedingly rare. Most of them are asymptomatic; however, some symptoms may occur due to complications such as ulceration, digestive bleeding, or gastric obstruction. Case report: A 63-year-old male patient presented with early satiety, dyspepsia, and one episode of melena. Investigation revealed a ulcerated polypoid lesion, suggestive of a lipoma, in the antrum measuring approximately 7cm. The patient was discussed in a multidisciplinary meeting, and laparoscopic enucleation was proposed. The surgery and post-operative period were uneventful. Literature review: A total of 40 surgically treated cases of giant gastric lipomas are reported in the literature. The average age at presentation is 55, and the most common symptoms are melena (56%), hematemesis (29%), and epigastric pain (29%). In more than half of the cases, an ulcer is present. On computed tomography, most lesions are well-defined, homogeneous, submucosal, and composed of fat, which is practically pathognomonic. Discussion: This rare condition should be managed by a multidisciplinary team. We recommend endoscopic techniques for lesions up to 4cm and surgical management for larger lesions. Minimally invasive surgery should be preferred, and enucleation should be the standard procedure. |
id |
RCAP_abd3d911078f9a7fce1fb3abc710891e |
---|---|
oai_identifier_str |
oai:revista.spcir.com:article/1016 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEWLIPOMA GÁSTRICO GIGANTE: CASO CLÍNICO E REVISÃO DA LITERATURAIntroduction: Gastric lipomas are rare and defined as giant when they are greater than 4 cm, which is exceedingly rare. Most of them are asymptomatic; however, some symptoms may occur due to complications such as ulceration, digestive bleeding, or gastric obstruction. Case report: A 63-year-old male patient presented with early satiety, dyspepsia, and one episode of melena. Investigation revealed a ulcerated polypoid lesion, suggestive of a lipoma, in the antrum measuring approximately 7cm. The patient was discussed in a multidisciplinary meeting, and laparoscopic enucleation was proposed. The surgery and post-operative period were uneventful. Literature review: A total of 40 surgically treated cases of giant gastric lipomas are reported in the literature. The average age at presentation is 55, and the most common symptoms are melena (56%), hematemesis (29%), and epigastric pain (29%). In more than half of the cases, an ulcer is present. On computed tomography, most lesions are well-defined, homogeneous, submucosal, and composed of fat, which is practically pathognomonic. Discussion: This rare condition should be managed by a multidisciplinary team. We recommend endoscopic techniques for lesions up to 4cm and surgical management for larger lesions. Minimally invasive surgery should be preferred, and enucleation should be the standard procedure.Introdução: A identificação de um lipoma gástrico é uma situação rara, sendo estas lesões definidas como gigantes quando são maiores que 4 cm, o que é excepcional. A maioria destas lesões é assintomática. No entanto, podem surgir algumas queixas relacionadas com complicações como ulceração, hemorragia digestiva ou obstrução gástrica. Caso clínico: Paciente do sexo masculino, 63 anos, com queixas de saciedade precoce, dispepsia e um episódio de melena. A investigação identificou uma lesão polipóide, ulcerada, no antro gástrico, medindo cerca de 7 cm, sugestiva de lipoma. O paciente foi discutido em reunião multidisciplinar e foi proposta enucleação laparoscópica da lesão. A cirurgia e o pós-operatório decorreram sem intercorrências. Revisão da literatura: Um total de 40 casos de lipomas gástricos gigantes tratados cirurgicamente são relatados na literatura internacional. A idade média de apresentação é 55 anos e os sintomas mais comuns são melenas (56%), hematémese (29%) e dor epigástrica (29%). Em mais da metade dos casos existe uma úlcera associada. Na tomografia computadorizada a maioria das lesões é bem delimitada, homogénea, submucosa e composta por gordura, o que é praticamente patognomónico. Discussão: Esta condição rara deve ser tratada por uma equipa multidisciplinar. Recomendamos técnicas de excisão endoscópica para lesões com um máximo de 4cm e a remoção cirúrgica de lesões maiores. A cirurgia minimamente invasiva deve ser privilegiada, e recomendamos a enucleação como procedimento padrão.Sociedade Portuguesa de Cirurgia2024-01-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.1016https://doi.org/10.34635/rpc.1016Revista Portuguesa de Cirurgia; No 56 (2023): December; 57-63Revista Portuguesa de Cirurgia; No 56 (2023): December; 57-632183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/1016https://revista.spcir.com/index.php/spcir/article/view/1016/701Copyright (c) 2024 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessMartins, RubenMorais, Henrique2024-03-14T22:05:31Zoai:revista.spcir.com:article/1016Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:55.097823Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW LIPOMA GÁSTRICO GIGANTE: CASO CLÍNICO E REVISÃO DA LITERATURA |
title |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW |
spellingShingle |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW Martins, Ruben |
title_short |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW |
title_full |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW |
title_fullStr |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW |
title_full_unstemmed |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW |
title_sort |
GIANT GASTRIC LIPOMA: A CASE REPORT AND LITERATURE REVIEW |
author |
Martins, Ruben |
author_facet |
Martins, Ruben Morais, Henrique |
author_role |
author |
author2 |
Morais, Henrique |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Martins, Ruben Morais, Henrique |
description |
Introduction: Gastric lipomas are rare and defined as giant when they are greater than 4 cm, which is exceedingly rare. Most of them are asymptomatic; however, some symptoms may occur due to complications such as ulceration, digestive bleeding, or gastric obstruction. Case report: A 63-year-old male patient presented with early satiety, dyspepsia, and one episode of melena. Investigation revealed a ulcerated polypoid lesion, suggestive of a lipoma, in the antrum measuring approximately 7cm. The patient was discussed in a multidisciplinary meeting, and laparoscopic enucleation was proposed. The surgery and post-operative period were uneventful. Literature review: A total of 40 surgically treated cases of giant gastric lipomas are reported in the literature. The average age at presentation is 55, and the most common symptoms are melena (56%), hematemesis (29%), and epigastric pain (29%). In more than half of the cases, an ulcer is present. On computed tomography, most lesions are well-defined, homogeneous, submucosal, and composed of fat, which is practically pathognomonic. Discussion: This rare condition should be managed by a multidisciplinary team. We recommend endoscopic techniques for lesions up to 4cm and surgical management for larger lesions. Minimally invasive surgery should be preferred, and enucleation should be the standard procedure. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-01-11 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.1016 https://doi.org/10.34635/rpc.1016 |
url |
https://doi.org/10.34635/rpc.1016 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/1016 https://revista.spcir.com/index.php/spcir/article/view/1016/701 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 56 (2023): December; 57-63 Revista Portuguesa de Cirurgia; No 56 (2023): December; 57-63 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799138183337738240 |