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[Pedicled gastric lipoma. Case report].
José López-Zamudio1, Karla Lisseth Leonher-Ruezga1, Luis Ricardo Ramírez-González1
1Departamento de Cirugía General, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
Cirugia Y Cirujanos
|June 10, 2015
Summary
Gastric lipomas are rare benign tumors. This case highlights a challenging diagnosis managed successfully with partial gastrectomy, offering insights into rare gastrointestinal conditions.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Gastrointestinal tract lipomas are rare, benign, slow-growing tumors, often presenting diagnostic challenges.
- Gastric lipomas constitute less than 1% of all gastric tumors, frequently discovered incidentally.
Observation:
- A 59-year-old male presented with pylorus-duodenal intussusception, initially detected during tomography for pancreatitis complications.
- Endoscopy revealed a 6 cm tumor; biopsies were inconclusive, necessitating a partial gastrectomy.
Findings:
- Histopathology confirmed the gastric tumor as a lipoma with disease-free margins.
- The patient experienced a satisfactory postoperative recovery and remains asymptomatic.
Implications:
- Gastric lipomas, though rare, can mimic malignant neoplasms, underscoring the importance of thorough diagnostic evaluation.
- Surgical resection, such as partial gastrectomy, can be an effective treatment for symptomatic or diagnostically challenging gastric lipomas.