RESUMEN
We present the case of a 30-year-old female patient with Gilbert's syndrome and gastrointestinal intolerance to proton pump inhibitors (PPI) with longstanding epigastric pain. Laboratory tests were unremarkable, except for a slight elevation of indirect bilirubin due to Gilbert's syndrome. An upper gastrointestinal tract endoscopy showed a diffuse and homogeneous micropolypoid mucosal pattern that involved the entire duodenal bulb. Histopathology analysis revealed gastric heterotopic mucosa with foveolar epithelium and fundic glands. A diagnosis of diffuse duodenal gastric heterotopia was determined. Anti-H2 blockers were prescribed with a significant clinical improvement.
Asunto(s)
Duodeno , Tracto Gastrointestinal Superior , Adulto , Duodeno/diagnóstico por imagen , Endoscopía Gastrointestinal , Femenino , Mucosa Gástrica , Humanos , Inhibidores de la Bomba de Protones/uso terapéuticoRESUMEN
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Asunto(s)
Humanos , Femenino , Adulto , Duodeno/diagnóstico por imagen , Duodeno/patología , Mucosa Gástrica/patología , Endoscopía del Sistema DigestivoRESUMEN
Presentamos el caso de un varón de 60 años, con antecedentes de nefrectomía radical izquierda por carcinoma renal, en grado nuclear II de Fuhrman, 8 años atrás. Por traumatismo abdominal cerrado se solicitó una TC abdominal en la que se observó una lesión sólida, hipervascular en la cabeza pancreática de 4cm de diámetro. Con la sospecha diagnóstica de metástasis pancreática de carcinoma renal se realizó duodenopancreatectomía cefálica con preservación pilórica. El estudio anatomopatológico confirmó la presunción diagnóstica. A los 23 meses de seguimiento el paciente está libre de enfermedad (AU)
We present the case of a 60-year-old man with a history of left radical nephrectomy due to Fuhrman nuclear grade II renal carcinoma 8 years previously. Abdominal computed tomography was performed due to a closed abdominal injury, revealing a solid, 4-cm hypervascular mass in the head of the pancreas. The suspected diagnosis was pancreatic metastasis from renal carcinoma. Cephalic duodenopancreatectomy was performed. The diagnosis was confirmed by histopathological analysis. At 23 months of follow-up, the patient remains disease free (AU)