Exploring the Link Between Gastric Lipoma and Glycemic Variability: A Case Report

A 65-year-old female presented to the Medicine OPD with complaints of frequent hypoglycemia. She complained of abdominal distension, post prandial bloating, and recurrent hypoglycemia for the last three years. She was on two oral hypoglycemic agents, and her medical records showed that she had experienced both hyperglycemic and hypoglycemic episodes. Despite stopping medication, she continued to be symptomatic. A detailed evaluation revealed a lipoma in the pyloric canal, acting like a ball valve. Changes in the stomach’s contraction and emptying processes resulted in rapid gastric emptying and triggered symptoms resembling those of dumping syndrome- again producing hyper and hypoglycemia. Diagnosis of gastric lipoma usually requires endoscopic examination or imaging techniques such as CT scans.