Résumé
Se presentó una paciente femenina de 59 años de edad, raza blanca y procedencia rural con antecedentes de diabetes mellitus tipo 1 con tratamiento con insulina lenta (15 unidades en desayuno, almuerzo y comida) además, padece de hipertensión arterial tratada con captopril (25 mg cada ocho horas), que acudió a consulta de Cirugía General refiriendo dolor abdominal localizado en hipogastrio que se irradia a fosas lumbares, de seis meses de evolución, intensidad moderada, que se aliviaba con dipirona cada ocho horas y sin otro síntoma. Al ser estudiada e intervenida quirúrgicamente se realizó el diagnóstico de lipoleiomioma primario del útero, considerada una neoplasia benigna poco frecuente reportada en la literatura.
A 59-year-old white female patient, of rural origin was presented in this paper with a history of type 1 diabetes mellitus with insulin treatment (15 units at breakfast, lunch and dinner). She also suffered from high blood pressure, treated with captopril (25 mg every eight hours). The patient had hypogastric abdominal pain, radiated to septic lumbar (six months duration), moderate intensity, which was relieved with dipyrone every eight hours and no other symptoms. The patient was studied and underwent surgery. An uterine primary lipoleiomyoma was diagnosed, considered a rare benign neoplasia reported in the literature.