RESUMO
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.
Assuntos
Glândulas Duodenais , Duodenopatias , Obstrução Intestinal , Feminino , Humanos , Hiperplasia , Glândulas Duodenais/diagnóstico por imagem , Glândulas Duodenais/cirurgia , Duodenopatias/diagnóstico por imagem , Duodenopatias/etiologia , Duodenopatias/cirurgia , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , DuodenoRESUMO
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.
Assuntos
Doenças da Aorta , Procedimentos Endovasculares , Fístula Esofágica , Fístula Vascular , Humanos , Correção Endovascular de Aneurisma , Fístula Vascular/diagnóstico por imagem , Fístula Vascular/etiologia , Procedimentos Endovasculares/efeitos adversos , Doenças da Aorta/diagnóstico por imagem , Doenças da Aorta/etiologia , Doenças da Aorta/cirurgia , Fístula Esofágica/diagnóstico por imagem , Fístula Esofágica/etiologia , Hemorragia/complicaçõesRESUMO
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.
Assuntos
Colecistectomia Laparoscópica , Doenças da Vesícula Biliar , Neoplasias da Vesícula Biliar , Neoplasias Gastrointestinais , Pólipos , Humanos , Neoplasias da Vesícula Biliar/diagnóstico por imagem , Neoplasias da Vesícula Biliar/cirurgia , Diagnóstico Diferencial , Doenças da Vesícula Biliar/diagnóstico por imagem , Doenças da Vesícula Biliar/cirurgia , Pólipos/diagnóstico por imagem , Pólipos/cirurgia , Neoplasias Gastrointestinais/cirurgiaAssuntos
Toxinas Botulínicas , Neoplasias Esofágicas , Gastroparesia , Neoplasias Esofágicas/cirurgia , Esofagectomia , Esvaziamento Gástrico , Gastroparesia/tratamento farmacológico , Gastroparesia/etiologia , Gastroparesia/cirurgia , Humanos , Piloro/cirurgia , Estudos Retrospectivos , Resultado do TratamentoRESUMO
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