RESUMO
A case of a patient with symptoms of gastric obstruction secondary to cholecystogastric fistula is presented and a brief review of the literature is done.(AU)
Assuntos
Humanos , Masculino , Idoso , Fístula Biliar/diagnóstico por imagem , Doenças da Vesícula Biliar/diagnóstico por imagem , Fístula Gástrica , Endossonografia , Gastroscopia , Esofagite , Fístula Biliar/etiologia , Fístula Biliar/cirurgia , Doenças da Vesícula Biliar/cirurgia , Pacientes Internados , Exame Físico , Avaliação de SintomasRESUMO
Melanoma is a cancer that frequently metastasises to the small bowel, but most cases are asymptomatic and are diagnosed postmortem. Therefore, CT and PET CT cannot detect all lesions and conventional endoscopic study only detects 10-20% of lesions. In this study, we present the case of a 68-year-old patient with a history of cutaneous melanoma and a diagnosis of intestinal melanoma. Thanks to capsule endoscopy, two lesions compatible with cutaneous melanoma metastasis to the small bowel were detected, allowing a much more effective surgical planning. Capsule endoscopy is an innovative technique that improves preoperative diagnosis, as it is able to detect bowel segments that cannot be inspected by conventional endoscopy. It also has a better resolution than conventional CT, improving sensitivity in the detection of lesions.(AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Cápsulas Endoscópicas , Intestino Delgado , Melanoma/diagnóstico por imagem , Endoscopia Gastrointestinal , Neoplasias Intestinais/cirurgia , Pacientes Internados , Exame Físico , Resultado do TratamentoRESUMO
A case of a patient with symptoms of gastric obstruction secondary to cholecystogastric fistula is presented and a brief review of the literature is done.
Assuntos
Fístula Biliar , Doenças da Vesícula Biliar , Fístula Gástrica , Humanos , Endossonografia , Fístula Biliar/diagnóstico por imagem , Fístula Biliar/etiologia , Fístula Biliar/cirurgia , Doenças da Vesícula Biliar/diagnóstico por imagem , Doenças da Vesícula Biliar/cirurgia , Fístula Gástrica/diagnóstico por imagem , Fístula Gástrica/etiologiaRESUMO
Duodenal diverticula are an uncommon cause of upper gastrointestinal bleeding. Until recently, it was primarily managed with surgery, but advances in the field of endoscopy have made management increasingly less invasive. We report a case of duodenal diverticular bleeding that was endoscopically managed, and review the literature about the various endoscopic therapies thus far described.
Assuntos
Doenças Diverticulares/complicações , Duodenopatias/etiologia , Duodenopatias/cirurgia , Endoscopia Gastrointestinal/métodos , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/cirurgia , Idoso de 80 Anos ou mais , Feminino , Hemostase Endoscópica , Humanos , Recidiva , Resultado do TratamentoRESUMO
La hemorragia diverticular duodenal es una causa infrecuente de hemorragia digestiva alta. Hasta hace unos años su manejo era eminentemente quirúrgico, pero con los avances en el campo de la endoscopia el tratamiento tiende a ser cada vez menos invasivo. Se presenta el caso de una hemorragia diverticular duodenal tratada endoscópicamente y se realiza una revisión de la literatura sobre las diferentes terapias endoscópicas descritas hasta la fecha (AU)
Duodenal diverticula are an uncommon cause of upper gastrointestinal bleeding. Until recently, it was primarily managed with surgery, but advances in the field of endoscopy have made management increasingly less invasive. We report a case of duodenal diverticular bleeding that was endoscopically managed, and review the literature about the various endoscopic therapies thus far described (AU)
