Subject(s)
Humans , Aged , Carcinoma, Papillary/diagnostic imaging , Carcinoma, Papillary/surgery , Gallbladder , CholecystectomyABSTRACT
Brunner's gland hyperplasia constitutes 10.6% of benign tumors of the duodenum, with an incidence of 0.008%. It is usually an incidental finding during endoscopy or imaging tests as they are small and asymptomatic. In the case of symptomatic tumors, resection of the lesion is indicated. In lesions ≤2 cm, endoscopic resection can be chosen, reserving surgery for larger lesions or endoscopically inaccessible ones. We present the case of a patient with a history of vomiting and hyporexia of months of evolution who presented peptic ulcer perforation and underwent surgery. During follow-up, she presented intestinal obstruction due to pyloric stenosis. Given the impossibility of ruling out a neoplastic process with certainty in diagnostic tests, surgical resection (antrectomy) was decided with an anatomopathological finding of Brunner's gland hyperplasia.
Subject(s)
Brunner Glands , Duodenal Diseases , Intestinal Obstruction , Female , Humans , Hyperplasia , Brunner Glands/diagnostic imaging , Brunner Glands/surgery , Duodenal Diseases/diagnostic imaging , Duodenal Diseases/etiology , Duodenal Diseases/surgery , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , DuodenumABSTRACT
Aortoesophageal fistula (AEF) secondary to thoracic endovascular aortic repair (TEVAR) is a rare clinical entity that poses a threat to life as it causes massive digestive bleeding, and it is estimated that 60% of patients who suffer from it could die within within 6 months of the onset of their symptoms. It requires a high clinical suspicion to establish an early multidisciplinary surgical treatment. We present the cases of two patients diagnosed with aortoesophageal fistulas after TEVAR in the last 5 years (January 2018-December 2022) while reviewing the existing scientific literature on the matter.
Subject(s)
Aortic Diseases , Endovascular Procedures , Esophageal Fistula , Vascular Fistula , Humans , Endovascular Aneurysm Repair , Vascular Fistula/diagnostic imaging , Vascular Fistula/etiology , Endovascular Procedures/adverse effects , Aortic Diseases/diagnostic imaging , Aortic Diseases/etiology , Aortic Diseases/surgery , Esophageal Fistula/diagnostic imaging , Esophageal Fistula/etiology , Hemorrhage/complicationsABSTRACT
Intracholecystic papillary neoplasia (IPN) is a rare entity rarely described in the literature, of incidental anatomopathological diagnosis in a cholecystectomy specimen that presents a premalignant behavior, with progression to carcinoma in more than 50% of cases. In the absence of an invasive component, clinical follow-up is recommended, without associating another surgical gesture, with a 5-year prognosis (90% survival). We present a case of a patient with an incidental diagnosis of NPIC after laparoscopic cholecystectomy due to presenting a gallbladder polyp.
Subject(s)
Cholecystectomy, Laparoscopic , Gallbladder Diseases , Gallbladder Neoplasms , Gastrointestinal Neoplasms , Polyps , Humans , Gallbladder Neoplasms/diagnostic imaging , Gallbladder Neoplasms/surgery , Diagnosis, Differential , Gallbladder Diseases/diagnostic imaging , Gallbladder Diseases/surgery , Polyps/diagnostic imaging , Polyps/surgery , Gastrointestinal Neoplasms/surgeryABSTRACT
No disponible
