ABSTRACT
Los lipomas son tumores benignos derivados de adipocitos maduros, ubicados con mayor frecuencia en el colon. Los pacientes generalmente son asintomaÌticos, por lo que en su mayoriÌa se diagnostican de maneraa incidental; sin embargo, en muy pocas ocasiones pueden generar siÌntomas por complicaciones, como hemorragia digestiva por ulceracioÌn, obstruccioÌn intestinal o dolor croÌnico. Este artiÌculo tiene como objetivo informar el caso de una paciente de 60 anÌos de edad, con dolor abdominal croÌnico, quien recibioÌ manejo meÌdico con antiespasmoÌdicos. Ante la falta de mejoriÌa, se le realizoÌ tomografiÌa axial computarizada (TAC) de abdomen, como parte de los estudios diagnoÌsticos, en la que se evidencioÌ un lipoma gigante de colon transverso, al cual se le atribuyoÌ el dolor. Por ello, es importante considerar las lesiones tumorales benignas no epiteliales del colon como causas de dolor abdominal y por tal motivo una evaluacioÌn cuidadosa del tracto gastrointestinal en los estudios de imagen, por parte del meÌdico radioÌlogo.
Lipomas are benign tumors derived from mature adipocytes, most frequently located in the colon. Patients are generally asymptomatic, so they are mostly diagnosed incidentally; however, in very few occasions they can generate symptoms due to complications, such as digestive hemorrhage due to ulceration, intestinal obstruction or chronic pain. This article aims to report the case of a 60-year-old patient with chronic abdominal pain, who received medical management with antispasmodics. without achieving improvement of the condition, Due to the lack of improvement, an abdominal computed tomography was performed as part of the diagnostic studies, where the presence of a giant transverse colon lipoma was evidenced, to which the etiology of the pain was attributed. For this reason, it is important to consider benign non-epithelial colon tumor lesions as causes of abdominal pain and therefore a careful evaluation of the gastrointestinal tract in imaging studies by the radiologist.