RESUMO
Alimentary tract duplications are rare congenital malformations with few reports of the antenatal sonographic appearance. Early diagnosis is of paramount importance to prevent complications. We present a case of a cystic gastric duplication diagnosed antenatally at 31 weeks' gestation, which was treated successfully. Simultaneously, we review all published cases of prenatally diagnosed enteric duplications.
Assuntos
Estômago/anormalidades , Estômago/diagnóstico por imagem , Ultrassonografia Pré-Natal , Adulto , Feminino , Fundo Gástrico/anormalidades , Fundo Gástrico/diagnóstico por imagem , Idade Gestacional , Humanos , Recém-Nascido , Masculino , Gravidez , Pertecnetato Tc 99m de Sódio , Estômago/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Pyloric and prepyloric webs and atresias have long been recognized and frequently reported; however, membranous atresia of the body of the stomach has not been reported previously. The authors report such a case.
Assuntos
Estômago/anormalidades , Feminino , Fundo Gástrico/anormalidades , Humanos , Recém-NascidoRESUMO
A case of inversion of the gallbladder is described, in which the fundus was inverted into the body of the organ. A localized area of adenomyomatosis (adenomyoma) was present at the apex of the invertum.
Assuntos
Vesícula Biliar/anormalidades , Endometriose/patologia , Feminino , Vesícula Biliar/patologia , Neoplasias da Vesícula Biliar/patologia , Fundo Gástrico/anormalidades , Fundo Gástrico/patologia , Humanos , Pessoa de Meia-IdadeAssuntos
Refluxo Gastroesofágico/diagnóstico por imagem , Adulto , Idoso , Feminino , Fundo Gástrico/anormalidades , Fundo Gástrico/diagnóstico por imagem , Fundo Gástrico/cirurgia , Refluxo Gastroesofágico/cirurgia , Hérnia Hiatal/diagnóstico por imagem , Hérnia Hiatal/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , RadiografiaRESUMO
Recently, a barium meal examination performed on a middle-aged man referred to the X-ray Department for investigation of gastro-intestinal symptoms demonstrated deformity of the duodenal bulb consistent with scarring from a chronic duodenal ulcer and a filling defect of the fundus of the stomach consistent with a carcinoma. A bone marrow examination demonstrated the presence of malignant cells which could be metastases from a gastric neoplasm. Therefore, there is good evidence of the co-existence of duodenal ulcer and cancer of the stomach in this patient. However, a review of the literature revealed that although carcinoma of the stomach is not uncommon in patients who have had an operation for duodenal or gastric ulcer it is extremely rare in patients who have a duodenal ulcer and have not undergone surgical treatment. This rare association was confirmed by a review of 3,800 barium swallow and meal examinations. Of these examinations, 1077 demonstrated a duodenal ulcer and association was noted to be common with gastric ulcer, hiatus hernia, hypertrophic pyloric stenosis and duodenal diverticula and also to occur with carcinoma of the oesophagus and pancreas but not a single examination demonstrated duodenal ulcer and carcinoma of the stomach in the same patient. This lack of association is even more striking because in the same series of barium examinations there were 173 cases of carcinoma of the stomach which next to duodenal ulcer, was the most common lesion (AU)
