PMC6599090_01
Esophagogastroduodenoscopy with a 3 cm mass along the anterior wall the gastric body at the level of the incisura. This had a positive pillow sign.
gr1.jpg
PMC6599090_01_gr1.jpg
fig0005
Stack biopsies were obtained, with apparent fat within the biopsy, consistent with lipoma (Fig. 1).
endoscopic ultrasound demonstrates a 3.3 x 1.6 cm relatively echogenic mass seeming to arise from the gastric submucosa in the area of the gastric lesion most consistent with benign lipoma.
gr2.jpg
PMC6599090_01_gr2.jpg
fig0010
EUS was performed, revealing a 3.3 x 1.6 cm relatively echogenic mass arising from the gastric submucosa in the area of the gastric lesion consistent with lipoma (Fig. 2).
coronal post-contrast CT images show a well-circumscribed, smoothly marginated, ovoid intramural (submucosal) mass of uniform fat attenuation, arising from the lesser curvature of the body of the stomach with endoluminal extension. The mass measures 1.5 x 1.5 x 3.0.
gr3.jpg
PMC6599090_01_gr3.jpg
fig0015
CT scan re-demonstrated the lesion, confirming a lack of extra-gastric component (Fig. 3).