RESUMO
We present the case of a 70-year-old woman with a history of transanal resection of rectal melanoma who presented with obstructive jaundice. She underwent complementary tests and was diagnosed with metastasis of melanoma at ampullary level. We consider this to be an interesting case given its unusual nature, as well as its difficult diagnostic and therapeutic management.
Assuntos
Procedimentos Cirúrgicos do Sistema Biliar , Melanoma , Neoplasias Retais , Feminino , Humanos , Idoso , Melanoma/diagnóstico por imagem , Melanoma/cirurgia , Neoplasias Retais/diagnóstico por imagem , Neoplasias Retais/cirurgia , Endossonografia , PacientesRESUMO
We introduce the case of an 82-year-old woman with Heyde's syndrome (HS) whose gastrointestinal bleeding was refractory to medical and endoscopic therapy, for which a percutaneous aortic valve implantation (TAVI) was performed. The outcome after TAVI was good, gastrointestinal bleeding ceased and Hb remained stable during follow-up in the following 3 months. Currently, although SH is not an indication for TAVI, it could be an indication for TAVI in patients with recurrent gastrointestinal bleeding or refractory anemia to other therapies, using the percutaneous route in those with high surgical risk.
Assuntos
Estenose da Valva Aórtica , Substituição da Valva Aórtica Transcateter , Feminino , Humanos , Idoso de 80 Anos ou mais , Substituição da Valva Aórtica Transcateter/efeitos adversos , Estenose da Valva Aórtica/complicações , Estenose da Valva Aórtica/diagnóstico por imagem , Estenose da Valva Aórtica/cirurgia , Hemorragia Gastrointestinal/terapia , Hemorragia Gastrointestinal/cirurgia , SíndromeRESUMO
A 46-year-old man underwent colonoscopy due to familiar screening for colorectal cancer, revealing an 8-mm rounded lesion in the middle rectum, subepithelial in appearance, with non-specific characteristics. Biopsies were taken, which were inconclusive. The study was completed with a CT scan, which was normal. Given the characteristics of the lesion, smaller than one centimetre, with a low probability of muscle invasion and the possibility of complete resection, band-assisted endoscopic treatment was decided, without first carrying out an endosonographic study.
Assuntos
Neoplasias Retais , Biópsia , Colonoscopia , Humanos , Ligadura , Masculino , Pessoa de Meia-Idade , Neoplasias Retais/diagnóstico por imagem , Neoplasias Retais/patologia , Neoplasias Retais/cirurgia , Reto/diagnóstico por imagem , Reto/patologia , Reto/cirurgiaRESUMO
An 82-year-old female with a history of osteoporosis and achalasia treated with periodic botulinum toxin injections presented a few weeks after the last session, reporting dysphagia and retrosternal pain. An upper gastrointestinal endoscopy revealed mucosal involvement in the middle and lower third of the esophagus in the form of edema, friability, exudate and extensive superficial ulcers, which converged distally and extended around the entire circumference. The cardia was punctiform, but could be passed without difficulty.
