Lipoma gástrico gigante sintomático tratado con gastrectomía subtotal laparoscópica: caso clínico

• Roberto Olguín R ^[1] ; Enrique Norero M ^[1] ; Eduardo Briceño ^[1] ; Cristian Martínez ^[1] ; Eduardo Viñuela ^[1] ; Sergio Báez ^[1] ; Gloria Aguayo ^[2] ; Alfonso Calvo ^[1] ; Rose Mege R ^[1] ; Alfonso Díaz ^[1]
  1. [1] Hospital Sótero del Río Servicio de Salud Metropolitano Sur Oriente Servicio de Cirugía
  2. [2] Hospital Sótero del Río Servicio de Salud Metropolitano Sur Oriente Servicio de Anatomía Patológica
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 141, Nº. 7, 2013, págs. 927-931
• Idioma: español
• Títulos paralelos:
  • Gastric lipoma removed by laparoscopic subtotal gastrectomy: Report of one case
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• Resumen

  • Gastric lipoma is a rare benign gastric tumor. We report a 62-year-old man, who presented with abdominal pain, vomiting and weight loss. An upper gastrointestinal endoscopy showed a gastric antral, submucosal tumor. Abdominal ultrasound and computed tomography revealed a large antral lesion with content of high echogenicity and fat density, measuring 11 x 6 cm. The patient was treated with a laparoscopic distal subtotal gastrectomy, and a Roux-en-Y reconstruction. The patient had no postoperative morbidity, was started on a liquid diet on the third postoperative day and was discharged on the third postoperative day. The pathological study revealed a gastric lipoma with clear margins. This laparoscopic procedure represents a good alternative in the treatment of this benign gastric tumor.