RESUMO
This report presents the case of a 78-year-old man affected by retroperitoneal tumor arising from the lower segment of the inferior vena cava. The patient underwent excision of the tumor and resection of the vena cava. Postoperative histopathologic examination revealed the diagnosis of leiomyosarcoma of the inferior vena cava, a rare tumor of mesenchymal origin.
Assuntos
Achados Incidentais , Leiomiossarcoma/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , Neoplasias Vasculares/diagnóstico por imagem , Procedimentos Cirúrgicos Vasculares/métodos , Veia Cava Inferior , Idoso , Diagnóstico Diferencial , Humanos , Laparotomia , Leiomiossarcoma/radioterapia , Leiomiossarcoma/cirurgia , Masculino , Neoplasias Vasculares/radioterapia , Neoplasias Vasculares/cirurgiaRESUMO
Here we present the case of a 79-year-old woman who complained of acute abdominal pain, vomiting and diarrhoea. Laboratory exams demonstrated a severe metabolic imbalance. Abdominal X-rays showed bowel overdistension and pneumatosis of the stomach wall. Abdominal tomography revealed infarction of the stomach, duodenum and small bowel due to thrombosis of the celiacomesenteric trunk. Exploratory laparotomy revealed ischemia of the liver, spleen infarction and necrosis of the gastro-intestinal tube (from the stomach up to the first third of the transverse colon). No further surgical procedures were performed. The patient died the following day. To our knowledge, this is the first reported case about severe gastro-intestinal ischemia due to thrombosis of the celiacomesenteric trunk, a rare anatomic variation of the gastrointestinal vascularisation.