Assuntos
Anemia Ferropriva , Antibacterianos/administração & dosagem , Endoscopia Gastrointestinal/métodos , Infecções por Helicobacter , Doença Imunoproliferativa do Intestino Delgado , Mucosa Intestinal , Anemia Ferropriva/diagnóstico , Anemia Ferropriva/etiologia , Gerenciamento Clínico , Infecções por Helicobacter/diagnóstico , Infecções por Helicobacter/tratamento farmacológico , Helicobacter pylori/isolamento & purificação , Humanos , Imuno-Histoquímica , Doença Imunoproliferativa do Intestino Delgado/complicações , Doença Imunoproliferativa do Intestino Delgado/diagnóstico , Doença Imunoproliferativa do Intestino Delgado/fisiopatologia , Doença Imunoproliferativa do Intestino Delgado/terapia , Mucosa Intestinal/diagnóstico por imagem , Mucosa Intestinal/patologia , Masculino , Pessoa de Meia-Idade , Estadiamento de NeoplasiasRESUMO
Primary tumors of the small intestine are rare, and metastatic ones are even rarer. It is exceptional for small bowel metastases to manifest before the primary tumor. The clinical presentation may require surgical resection motivated by intestinal perforation, hemorrhage or intestinal obstruction-subocclusion. Survival is scarce and generally does not exceed 20 weeks, regardless of the treatment performed.
Assuntos
Carcinoma/secundário , Neoplasias do Jejuno/secundário , Neoplasias Pulmonares/patologia , Idoso de 80 Anos ou mais , Carcinoma/diagnóstico , Evolução Fatal , Feminino , Humanos , Neoplasias do Jejuno/diagnóstico , Neoplasias Pulmonares/diagnósticoRESUMO
Endoscopic ultrasonography with fine-needle aspiration is a safe technique that allows the collection of tissue samples for histological diagnosis, as well as therapeutic maneuvers. It has better diagnostic accuracy versus other exploration techniques used for the staging of neoplasms in the gastrointestinal tract as well as in other organs. The risk for complications is extremely low, and the procedure has been shown to be cost-effective in many studies. In this paper we attempt to review the main present indications of endoscopic ultrasonography with fine-needle aspiration.
Assuntos
Biópsia por Agulha Fina , Endossonografia , HumanosRESUMO
Esophageal hematoma is a rare entity that usually presents as acute thoracic pain. It may occur spontaneously or in association with an underlying disease or direct esophageal damage. The presence of coagulation disorders plays an important role in the development of hematoma. We describe the case of a female patient treated with low-dose aspirin who was diagnosed through emergency gastroscopy. We also review the literature and discuss possible causes, findings in diagnostic tests and treatment.
Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Aspirina/efeitos adversos , Doenças do Esôfago/induzido quimicamente , Hematoma/induzido quimicamente , Inibidores da Agregação Plaquetária/efeitos adversos , Idoso , Idoso de 80 Anos ou mais , Doenças do Esôfago/diagnóstico por imagem , Doenças do Esôfago/terapia , Feminino , Gastroscopia , Hematoma/diagnóstico por imagem , Hematoma/terapia , Humanos , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Brunner's gland hamartoma is a rare duodenal tumor generally localized in the duodenal bulb. Normally assymptomatic, it might cause upper gastrointestinal bleeding or intestinal obstruction. The diagnosis is based on upper gastrointestinal endoscopic or barium examination findings, and its treatment includes surgical or endoscopic resection, with an optimum prognosis. We present the case of a 59-year-old woman who was admitted to the hospital with an upper gastrointestinal bleeding picture. Endoscopic examination showed an ulcerated polyp in duodenal bulb which was cut with polipectomy wire. Histological slides showed a parasitic granuloma within a Brunner's gland hamartoma. Skin prick test and specific IgE determination were positive for Anisakis. Up to our knowledge, this association has never been described before.