Intususcepción gastroduodenal como presentación de un tumor del estroma gastrointestinal gástrico / Gastroduodenal intussusception as a presentation of gastric gastrointestinal stromal tumor
Rev. chil. cir
;
68(4): 316-318, jul. 2016. ilus
Article
in Spanish
| LILACS
| ID: lil-788900
RESUMEN
Objetivo Presentar un caso de GIST con presentación clínica poco usual. Caso clínico Presentamos una paciente de género femenino, de 70 años, con 5 días de dolor en hemiabdomen superior y vómitos; se le diagnóstica por TC de abdomen y pelvis con contraste una intususcepción gastroduodenal. Se ingresa a pabellón; confirmando diagnóstico, se realiza gastrectomía subtotal más Y de Roux. La biopsia diferida con inmunohistoquímica confirma un GIST gástrico con 2 mitosis cada 50 campos. Se decide manejo conservador y control anual con endoscopia digestiva alta. Buena evolución.
ABSTRACT
Aim To present a case of GIST with unusual clinical presentation. Case report We present a 70-year old female patient with 5 days of upper abdominal pain and vomiting, being diagnosed with a gastroduodenal intussusceptions by contrasted CT scan. She was admitted to the operating room, confirming the diagnosis and a subtotal gastrectomy with Roux-en-Y reconstruction was performed. A deferred biopsy with immunohistochemical confirmed GIST with 2 mitoses/50 high-powerfields. Conservative management was proposed and annual control with upper endoscopy decided. Satisfactory evolution.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Gastrointestinal Stromal Tumors
/
Gastrointestinal Neoplasms
/
Intussusception
Type of study:
Diagnostic study
/
Etiology study
Limits:
Aged
/
Female
/
Humans
Language:
Spanish
Journal:
Rev. chil. cir
Journal subject:
General Surgery
Year:
2016
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Juan Noé Crevani/CL
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