ABSTRACT
A 61-year-old male with no relevant past medical history underwent a colonoscopy for routine screening of colorectal cancer. Colonoscopy revealed a pearly and hard submucosal lesion of less than 10 mm in diameter in the ascending colon, with normal mucosa. An abdominopelvic computed tomography (CT) scan was performed, which was normal. Endoscopic submucosal dissection (ESD) was performed and the lesion appeared to originate from the muscularis propia. Thus, the muscularis propia and part of the serosa of the colonic wall were cut and the perforation was finally closed with hemoclips.
Subject(s)
Anisakiasis , Colorectal Neoplasms , Endoscopic Mucosal Resection , Colonoscopy , Dissection , Humans , Intestinal Mucosa , Male , Middle Aged , Retrospective Studies , Treatment OutcomeABSTRACT
El hepatocarcinoma (HCC) sobre hígado ectópico es una entidad rara. La mayoría de los casos son asintomáticos y se descubren de manera casual en una autopsia o laparoscopia. En ocasiones producen clínica como dolor abdominal o hemorragia intraabdominal. Se realiza revisión de la literatura y se presenta el caso de una mujer de 68 años diagnosticada de hepatocarcinoma sobre hígado ectópico peritoneal a raíz de un estudio por hipertransaminasemia leve asintomática
Ectopic hepatocellular carcinoma is a rare entity. Most cases are asymptomatic and are occasionally found during autopsy or laparoscopy. They may sometimes cause relevant clinical problems such as abdominal pain or intra-abdominal bleeding. In this clinical case report, we review the literature in order to decipher the case of a 68-year-old female with an ectopic hepatocellular carcinoma that arose from the peritoneum. The patient was diagnosed after being studied due to a mild asymptomatic hypertransaminasemia
Subject(s)
Humans , Female , Aged , Carcinoma, Hepatocellular/diagnostic imaging , Choristoma/diagnostic imaging , alpha-Fetoproteins/analysis , Colectomy/methods , Liver Neoplasms/surgery , Omentum/pathology , Transaminases/analysis , Treatment OutcomeABSTRACT
Ectopic hepatocellular carcinoma is a rare entity. Most cases are asymptomatic and are occasionally found during autopsy or laparoscopy. They may sometimes cause relevant clinical problems such as abdominal pain or intra-abdominal bleeding. In this clinical case report, we review the literature in order to decipher the case of a 68-year-old female with an ectopic hepatocellular carcinoma that arose from the peritoneum. The patient was diagnosed after being studied due to a mild asymptomatic hypertransaminasemia.