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.
