Olguín R Roberto, Norero M Enrique, Briceño Eduardo, Martínez Cristian, Viñuela Eduardo, Báez Sergio, Aguayo Gloria, Calvo Alfonso, Mege R Rose, Díaz Alfonso
Departamento de Cirugía Digestiva, Servicio de Cirugía, Servicio de Salud Metropolitano Sur Oriente, Hospital Sótero del Río, Santiago, Chile.
Servicio de Anatomía Patológica, Servicio de Salud Metropolitano Sur Oriente, Hospital Sótero del Río, Santiago, Chile.
Rev Med Chil. 2013 Jul;141(7):927-31. doi: 10.4067/S0034-98872013000700014.
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.
