Georgiev Aleksandar, Tsvetkova Silvia, Aleksova Lyubka, Ali Metin
Department of Diagnostic Imaging, Medical University Plovdiv, Bul. Vasil Aprilov 15A, Plovdiv, Bulgaria.
Complex Oncology Center Plovdiv, "Pere Toshev" str., Plovdiv, Bulgaria.
Radiol Case Rep. 2021 May 25;16(7):1882-1884. doi: 10.1016/j.radcr.2021.04.054. eCollection 2021 Jul.
Gastric lipomas are very rare benign tumors. Only around 217 cases have been reported. Most gastric lipomas are found incidentally; however, larger neoplasms can be symptomatic. The presented 64 years old male with incidental finding of pyloric lipoma adds another example to the few documented in the literature. The patient had symptoms of breath shortness and lack of energy two months after COVID 19 pneumonia. A low dose CT scan with iodine contrast enhancement of the chest and upper abdomen led to the diagnose. The diagnosis of gastric lipoma can be achieved through diagnostic imaging or the combination of endoscopic techniques. Treatment can be carried out by endoscopy, robotic or classical surgery.
胃脂肪瘤是非常罕见的良性肿瘤。仅报告了约217例。大多数胃脂肪瘤是偶然发现的;然而,较大的肿瘤可能有症状。本文介绍的一名64岁男性偶然发现幽门脂肪瘤,为文献中记载较少的病例增添了又一个例子。该患者在感染新冠病毒肺炎两个月后出现呼吸急促和乏力症状。胸部和上腹部的低剂量碘对比增强CT扫描得以确诊。胃脂肪瘤的诊断可通过诊断性影像学检查或内镜技术联合实现。治疗可通过内镜、机器人手术或传统手术进行。