Ortiz de Solórzapo Aurusa F J, Yarritu Viilanueva C, Ruiz Adrados E, Obelar Bernal L, Acebo García M, Alvarez Rabanal R, Viguri Díaz A
Servicio de Cirugía General y Aparato Digestivo, Hospital Santiago Apostol, Miranda de Ebro, Burgos.
Gastroenterol Hepatol. 1997 Jun-Jul;20(6):303-5.
A patient with a history of epigastric abdominal pain and occasional vomiting is presented. During the study of an upper gastrointestinal hemorrhage, gastroduodenal invagination secondary to a gastric lipoma of 5.5 cm in diameter was diagnosed. Upper digestive endoscopy and gastroduodenal study were not diagnostic. Echography detected a duodenal mass suspect of invagination. CAT diagnosed the lipomatous nature of the tumor. Surgery confirmed gastroduodenal invagination with a gastric lipoma with ulceration in the mucosa which covered the same. Enucleation of the tumor was performed. Histologic study established the diagnosis of gastric lipoma. The post operative period was uneventful. A review of the clinical, diagnostic and therapeutic aspects of this rare disease is reported.
报告一例有上腹部疼痛病史且偶有呕吐的患者。在研究上消化道出血过程中，诊断出继发于直径5.5厘米胃脂肪瘤的胃十二指肠套叠。上消化道内镜检查和胃十二指肠造影均未明确诊断。超声检查发现十二指肠有可疑套叠肿块。计算机断层扫描（CAT）诊断出肿瘤的脂肪瘤性质。手术证实为胃十二指肠套叠伴胃脂肪瘤，脂肪瘤表面黏膜有溃疡。对肿瘤进行了摘除术。组织学研究确诊为胃脂肪瘤。术后恢复顺利。本文报告了对这种罕见疾病临床、诊断及治疗方面的回顾。
