Biomedical subjects
Publications and source records attributed to L Obelar Bernal.
Mesenteric lipodystrophy is a rare disorder characterized by either focal or diffuse thickening of the mesentery due to chronic inflammation and fibrosis. The etiology and pathogenesis is obscure. Roentgenologic findings help in differential diagnosis with other diseases but they rarely establish the diagnosis. This is made in most cases by laparotomy.
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.