RESUMO
Lung and spigelian hernia are both extremely rare diseases, and their combined and simultaneous appearance in the same patient, causing the small bowel to shift from the abdomen towards the thorax external to the ribcage is even more unusual. Here, we report such a case, supported by comprehensive iconography and a detailed discussion of the hypothetical pathogenesis.
Assuntos
Hérnia Ventral/complicações , Obstrução Intestinal/etiologia , Intestino Delgado , Laparotomia/métodos , Cavidade Torácica , Toracoplastia/métodos , Idoso , Diagnóstico Diferencial , Seguimentos , Hérnia Ventral/diagnóstico por imagem , Hérnia Ventral/cirurgia , Humanos , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/cirurgia , Masculino , Implantação de Prótese/instrumentação , Radiografia Abdominal , Telas Cirúrgicas , Tomografia Computadorizada por Raios XRESUMO
Solitary and early brain metastases from colon carcinoma are unusual. This possibility must be kept in mind, in patients with cerebral metastasis of unknown adenocarcinoma. These patients could benefit from colonoscopy and CEA studies with the aim of achieving more early diagnosis and surgical resection. The case of a 48-year-old woman with brain metastasis diagnosed 4 months before the primary tumor, a colon cancer, is reported.