Assuntos
Abdome Agudo/etiologia , Omento/diagnóstico por imagem , Doenças Peritoneais/diagnóstico por imagem , Anormalidade Torcional/complicações , Anormalidade Torcional/diagnóstico por imagem , Feminino , Humanos , Pessoa de Meia-Idade , Doenças Peritoneais/complicações , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
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Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Omento/patologia , Omento/cirurgia , Omento , Abdome Agudo/complicações , Abdome Agudo/cirurgia , Abdome Agudo , Ruptura Esplênica/complicações , Ruptura Esplênica/cirurgia , Ruptura Esplênica , Laparotomia/métodos , Esplenomegalia/complicações , Esplenomegalia/cirurgia , EsplenomegaliaRESUMO
INTRODUCTION: Intussusception in adults accounts for less than 5% of all intussusceptions. It occurs when a segment of intestine invaginates into itself. PRESENTATION OF A CASE: We report a case of ileocolic intussusception in an adult caused by a giant ileal lipoma. DISCUSSION: Intussusceptions can be classified as ileocolic, ileocecal, colo-colic and ileo-ileal. Most are due to neoplasms (60% malign and 24-40% benign). In the colon, the possibility of malignancy is higher than in small intestine. Lipomas are the most common benign mesenchymal intestinal tumors, accounting for less than 5% of all gastrointestinal tumors. They are more frequent in colon than small intestine. Small lipomas (less than 2cm) are usually asymptomatic. Larger lesions may produce symptoms such as abdominal pain, obstruction or intussusception. Lipomas can be diagnosed with endoscopy, capsule endoscopy, barium enemas, CT and US. CONCLUSION: Intussusceptions in adults is a rare condition, most of them are caused by a malign neoplasms followed by benign neoplasms. US and CT are useful for diagnosis. Surgery is mandatory.
RESUMO
Cystoadenomas of the liver are rare cystic tumors that have seldom been reported. Accurate preoperative diagnosis is difficult because they are usually mistaken for more frequent lesions. Due to their malignant potential, complete surgical removal of the lesion is required. Correct diagnosis is guided by clinical history, radiological imaging, and laboratory parameters. We report two of these rare cases and discuss the spectrum of presentation, pathological features and treatment of these tumors.
Assuntos
Adenoma de Ducto Biliar/complicações , Adenoma de Células Hepáticas/complicações , Adenoma de Ducto Biliar/diagnóstico por imagem , Adenoma de Ducto Biliar/cirurgia , Adenoma de Células Hepáticas/diagnóstico por imagem , Adenoma de Células Hepáticas/cirurgia , Adulto , Feminino , Humanos , Cuidados Pré-Operatórios , Tomografia Computadorizada por Raios XRESUMO
Los cistoadenomas hepatobiliares son tumores quísticos infrecuentes. Su diagnóstico preoperatorio es difícil ya que con frecuencia se confunden con otras lesiones quísticas más comunes. Son lesiones con potencial maligno, de ahí que su tratamiento consista en la extirpación quirúrgica. Los datos de laboratorio, la historia clínica y las imágenes radiológicas deben orientarnos hacia su diagnóstico. Se presentan dos de estos infrecuentes casos y se discuten tanto los modos de presentación como los tipos histológicos y el tratamiento que precisan estas lesiones (AU)
Cystoadenomas of the liver are rare cystic tumors that have seldom been reported. Accurate preoperative diagnosis is difficult because they are usually mistaken for more frequent lesions. Due to their malignant potential, complete surgical removal of the lesion is required. Correct diagnosis is guided by clinical history, radiological imaging, and laboratory parameters. We report two of these rare cases and discuss the spectrum of presentation, pathological features and treatment of these tumors (AU)
