Here we present an extremely rare case of a gastric cardia lipoma. Lipomas are rare in the gastrointestinal tract, are usually asymptomatic and often discovered incidentally. When a lipoma becomes larger than 4 cm, the most common indicator of clinical presence is upper gastrointestinal hemorrhage. A 73-year-old female patient presented with melena and dysphagia. Abdominal computed tomography revealed a gastric cardia lipoma. At laparotomy, a gastric cardia lipoma was found with ulceration that was causing esophageal obstruction. The lipoma was removed through a gastrotomy with incision of the mucosa and shelling out of the tumor. Recovery was uneventful.