RESUMO
Metastatic tumors in the small intestine are rare. The most commonly implicated primitive tumors are malignant melanoma, lung cancer and colon cancer. Few cases of metastasis to the intestine as the first manifestation of metastasis have been described. We present a case of metastasis to the intestine of lobular breast carcinoma 9 years after surgical resection of the primary tumor. Metastasis presented as anasarca. Ray small bowel series revealed ileal stenosis. Diagnosis was confirmed by histopathologic analysis following surgical resection of the affected intestinal segment.
Assuntos
Neoplasias da Mama/patologia , Carcinoma Lobular/diagnóstico , Carcinoma Lobular/secundário , Edema/etiologia , Neoplasias do Íleo/diagnóstico , Neoplasias do Íleo/secundário , Obstrução Intestinal/etiologia , Neoplasias da Mama/cirurgia , Carcinoma Lobular/cirurgia , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
La esplenosis representa el resultado del autotrasplante de tejido esplénico que generalmente sigue a un traumatismo o cirugía esplénica, cuando células esplénicas viables y pulpa se diseminan e implantan en la cavidad peritoneal. Presentamos un caso de esplenosis gástrica que simulaba una tumoración submucosa gástrica y causó una anemia ferropénica debida a hemorragia digestiva alta crónica (AU)
Assuntos
Adulto , Feminino , Masculino , Humanos , Hemorragia Gastrointestinal/complicações , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/etiologia , Esplenectomia/métodos , Esplenectomia/efeitos adversos , Endoscopia Gastrointestinal/métodos , Endoscopia Gastrointestinal , Ranitidina/uso terapêutico , Transfusão de Componentes Sanguíneos/classificação , Transfusão de Componentes Sanguíneos/métodos , Transfusão de Componentes Sanguíneos , Esplenose/complicações , Esplenose/diagnóstico , Esplenose/etiologia , Esplenose/patologia , Esplenose/cirurgia , Anemia Ferropriva/complicações , Anemia Ferropriva/etiologia , Anemia Ferropriva/diagnóstico , Esplenose/cirurgia , Esplenose/complicações , Esplenose/diagnóstico , Esplenose/etiologia , Estômago/patologiaRESUMO
All the previous studies which have associated arteriovenous malformations of the colon with chronic inflammatory disease have always been performed on a diseased intestine. This study, which uses the intravascular injection of resin, shows morphological evidence that angiodysplasia of the colon and intestinal inflammatory disease can coexist independently. This fact suggests that in cases of severe hemorrhage in a patient with inflammatory disease of the small intestine, it cannot simply be assumed that it originates in the macroscopically abnormal intestine, and that angiographic examination is a wise measure to rule out the possibility of arteriovenous malformations in the "normal" intestine.
