Laparoscopic management of gastric angiomyolipoma:  case report and review of literature.
Angiomyolipoma of stomach is extremely rare. Only 1 case has been reported earlier. We report a case of 40-year-old female who presented with gastrointestinal bleeding. Upper gastrointestinal endoscopy suggested a polypoidal growth in the stomach. Biopsy from the growth was suggestive of mesenchymal tumor. The contrast-enhanced computed tomography of abdomen revealed a pedunculated 4×3 cm, intramural lesion at the junction of first and second parts of duodenum, likely lipoma. The stalk seemed to be arising from distal stomach. At laparoscopy, a highly mobile lesion was observed arising from the posterior wall of stomach. Wedge resection of the lesion was performed laparoscopically after doing an anterior gastrotomy. The final diagnosis on histopathology was a gastric angiomyolipoma.
Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India. sandeep_aiims@yahoo.co.in
Sandeep
S
Aggarwal
Pankaj
P
Gupta
Sanjay
S
Sharma
D000328:Adult; D018207:Angiomyolipoma / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery*