ABSTRACT
We present the case of a patient under study due to ascites in which a mass located on the gastric wall was observed during ultrasonography. Further studies (upper endoscopy and computed tomography) confirmed this finding. After an ultrasound-guided percutaneous biopsy, diagnosis of gastric schwannoma was made as intense S-100 expression was found. Surgery was rejected due to the bad clinical situation of the patient and because the mass was an asymptomatic benign tumor.
Subject(s)
Neurilemmoma/diagnostic imaging , Stomach Neoplasms/diagnostic imaging , Aged, 80 and over , Conservative Treatment , Female , Gastroscopy , Humans , Incidental Findings , UltrasonographyABSTRACT
No disponible
Subject(s)
Humans , Female , Aged, 80 and over , Neurilemmoma/complications , Neurilemmoma/surgery , Neurilemmoma , Cholestasis/complications , Cholestasis , Chondrosarcoma, Mesenchymal/complications , Chondrosarcoma, Mesenchymal , Endoscopy/methods , Incidental Findings , Neurofibromatosis 1/complications , Ultrasonography/methods , Sarcoma/complications , Sarcoma/surgery , Sarcoma , Immunohistochemistry/methods , ImmunohistochemistryABSTRACT
No disponible
Subject(s)
Humans , Male , Adolescent , Carcinoma, Hepatocellular/complications , Carcinoma, Hepatocellular/drug therapy , Carcinoma, Hepatocellular , Platinum Compounds/therapeutic use , Diagnosis, Differential , Liver , Liver/pathology , Liver , Tomography, Emission-Computed/methods , Tomography, Emission-ComputedABSTRACT
No disponible
Subject(s)
Female , Humans , Male , Gastrointestinal Stromal Tumors/metabolism , Gastrointestinal Stromal Tumors/pathology , Intestine, Small/abnormalities , Intestine, Small/cytology , Gastrointestinal Hemorrhage/blood , Gastrointestinal Hemorrhage/enzymology , Anemia/blood , Gastrointestinal Stromal Tumors/complications , Gastrointestinal Stromal Tumors/genetics , Intestine, Small/metabolism , Intestine, Small/pathology , Gastrointestinal Hemorrhage/complications , Gastrointestinal Hemorrhage/diagnosis , Anemia/pathologySubject(s)
Capsule Endoscopy , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Stromal Tumors/diagnostic imaging , Jejunal Neoplasms/diagnostic imaging , Aged, 80 and over , Gastrointestinal Stromal Tumors/complications , Gastrointestinal Stromal Tumors/pathology , Humans , Jejunal Neoplasms/complications , Jejunal Neoplasms/pathology , Male , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Female , Humans , Pathology, Clinical/classification , Pathology, Clinical/methods , Digestive System Neoplasms/genetics , Digestive System Neoplasms/metabolism , Aneurysm/blood , Pancreatitis/metabolism , Pancreatitis/pathology , Heart Diseases/complications , Pathology, Clinical/instrumentation , Pathology, Clinical , Digestive System Neoplasms/complications , Digestive System Neoplasms/enzymology , Aneurysm/pathology , Pancreatitis/complications , Pancreatitis/genetics , Heart Diseases/diagnosisABSTRACT
Direct percutaneous endoscopic jejunostomy (DPEJ) is an infrequent procedure as it is not always easy to obtain transillumination, being this the main reason for failure of this technique. In patients with previous surgery, this procedure is more complex and there are only 6 reported cases in pediatric population. In our case, we provide the use of an endoscopic triangulation system with "T" pexies not used before in these cases. With this technique, we guarantee not to replace the introduction system afterwards, obtaining the placement of a balloon fixation system initially. We also provide several improvements that helped us developing the procedure: Placement of the jejunostomy through a gastrostomy; use of water column to avoid penetration in hollow viscus; use of a guide wire, and a triangulation pexy system.
Subject(s)
Endoscopy, Gastrointestinal/methods , Jejunostomy/methods , Child, Preschool , Endoscopy, Gastrointestinal/instrumentation , Female , Humans , Jejunostomy/instrumentationABSTRACT
La yeyunostomía endoscópica directa es una técnica infrecuente pues no siempre es fácil conseguir la transiluminación, motivo por el que se fracasa en su colocación con mayor frecuencia. En pacientes con cirugía previa aún es más compleja, y en la edad pediátrica sólo hay 6 casos publicados en la literatura. Además se aporta la utilización de un sistema de triangulación con pexias en T que no se ha utilizado hasta ahora en esta indicación. De esta forma nos aseguramos el no tener que retirar posteriormente el sistema de introducción, dejando desde el principio un sistema de fijación con balón. Aportamos varias mejoras que nos ayudaron en la técnica: realización a través de la gastrostomía, uso de columna de agua para evitar paso por vísceras huecas, uso de hilo guía y sistema de pexia-triangulación (AU)
Direct percutaneous endoscopic jejunostomy (DPEJ) is an infrequent procedure as it is not always easy to obtain transillumination, being this the main reason for failure of this technique. In patients with previous surgery, this procedure is more complex and there are only 6 reported cases in pediatric population. In our case, we provide the use of an endoscopic triangulation system with "T" pexies not used before in these cases. With this technique, we guarantee not to replace the introduction system afterwards, obtaining the placement of a balloon fixation system initially. We also provide several improvements that helped us developing the procedure: Placement of the jejunostomy through a gastrostomy; use of water column to avoid penetration in hollow viscus; use of a guide wire, and a triangulation pexy system
Subject(s)
Humans , Female , Child, Preschool , Jejunostomy/methods , Gastroesophageal Reflux/surgery , Endoscopy, Digestive System/methods , Respiratory Aspiration/complications , Jejunoileal Bypass/methods , Treatment Failure , Iatrogenic DiseaseABSTRACT
No disponible
