Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.627
Filtrar
1.
Medicine (Baltimore) ; 100(14): e25048, 2021 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-33832073

RESUMO

RATIONALE: Brunner gland hamartoma (BGH) is a rare tumor of the duodenum. Although BGH is a benign tumor, larger lesion with gastrointestinal symptoms requires tumor removal. We report a giant BGH, successfully treated by endoscopic excision followed by transanal retrieval. PATIENT CONCERNS: A 38-year-old woman complained of severe anemia, tarry stool, and vomiting. DIAGNOSES: Esophagogastroduodenoscopy (EGD) showed a pedunculated giant submucosal mass at the duodenal bulb. INTERVENTIONS: We attempted to remove it because the lesion seemed to be responsible for patient's anemia and vomiting. The lesion had clear but bulky stalk. We carefully cut the stalk using needle-knife and IT knife2. We tried to retrieve specimen, but the mass could not pass through the pyloric ring because of its size. Then we tried to obtain the specimen from anus. Polyethylene glycol solution was administered to accelerate rapid excretion. OUTCOMES: The mass was successfully removed and was histologically confirmed as a giant BGH, measuring 55 mm in size. LESSONS: Reports about endoscopic resection of giant BGH are rare. Moreover, our case is the first report of transanal retrieval of resected specimen using polyethylene glycol solution. Endoscopic resection of BGH is less-invasive but can be more challenging if the mass is large. Our case provides useful option for endoscopic treatment of giant BGH.


Assuntos
Glândulas Duodenais/cirurgia , Duodenopatias/cirurgia , Hamartoma/cirurgia , Adulto , Canal Anal/cirurgia , Glândulas Duodenais/diagnóstico por imagem , Glândulas Duodenais/patologia , Duodenopatias/diagnóstico por imagem , Duodenopatias/patologia , Endoscopia do Sistema Digestório , Feminino , Hamartoma/diagnóstico por imagem , Hamartoma/patologia , Humanos
2.
BMJ Case Rep ; 14(2)2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33526527

RESUMO

A 57-year-old woman presented with a 5-day history of worsening right upper quadrant pain, bilious emesis and approximately 20 pounds of weight loss. The patient was afebrile, without jaundice and had mild tenderness in her right upper quadrant. She noted an incidental finding of asymptomatic cholelithiasis on imaging 4 years earlier. An abdominal radiograph revealed pneumobilia and a large ectopic calculus. An abdominal CT scan confirmed pneumobilia, a large concretion completely obstructing the third portion of the duodenum and a soft tissue communication between the gallbladder and proximal duodenum. She was brought to the operating room for definitive treatment and had the obstructing gallstone removed via a transverse duodenotomy. Bouveret syndrome is a rare cause of small bowel obstruction that requires a high index of suspicion for diagnosis. It should be considered in older patients with clinical evidence of gastric or duodenal obstruction, particularly with a history of cholelithiasis.


Assuntos
Obstrução Duodenal/diagnóstico por imagem , Cálculos Biliares/diagnóstico por imagem , Fístula Intestinal/diagnóstico por imagem , Duodenopatias/complicações , Duodenopatias/diagnóstico por imagem , Obstrução Duodenal/etiologia , Obstrução Duodenal/cirurgia , Feminino , Doenças da Vesícula Biliar/complicações , Doenças da Vesícula Biliar/diagnóstico por imagem , Cálculos Biliares/complicações , Cálculos Biliares/cirurgia , Humanos , Fístula Intestinal/complicações , Pessoa de Meia-Idade , Radiografia Abdominal , Tomografia Computadorizada por Raios X
3.
BMJ Case Rep ; 14(1)2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33509873

RESUMO

Acute upper gastrointestinal (UGI) bleeding is one of the most frequent presentations to a surgical emergency. Most of them respond to initial resuscitation, and a definite diagnosis is established as soon as possible, thereby helping the clinician in management. We present the diagnostic challenges that we faced with a 70-year-old man who presented with UGI bleed. He initially responded to resuscitation, but later deteriorated and became haemodynamically unstable. The source of the UGI bleed on evaluation was found to be pseudoaneurysm of the gastroduodenal artery (PsGDA) and treated successfully by coil embolisation. The cause of the PsGDA was diverticulum arising from the first part of duodenum with changes of diverticulitis. Diverticulum originating from the first part of the duodenum is seldom reported. Moreover, diverticulitis involving this part and causing PsGDA has not been reported so far.


Assuntos
Falso Aneurisma/diagnóstico por imagem , Diverticulite/diagnóstico por imagem , Duodenopatias/diagnóstico por imagem , Hemorragia Gastrointestinal/terapia , Artéria Hepática , Idoso , Falso Aneurisma/etiologia , Falso Aneurisma/terapia , Angiografia Digital , Antibacterianos/uso terapêutico , Diverticulite/complicações , Diverticulite/tratamento farmacológico , Duodenopatias/complicações , Duodenopatias/tratamento farmacológico , Embolização Terapêutica , Hemorragia Gastrointestinal/etiologia , Humanos , Masculino , Tomografia Computadorizada por Raios X
4.
Vasc Endovascular Surg ; 55(1): 95-99, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32875968

RESUMO

Aortoenteric fistula after endovascular aortic repair for an abdominal aortic aneurysm is a rare but severe complication. Particularly, a case of inflammatory abdominal aortic aneurysm is extremely rare and there are only 3 reported cases. A 70-year-old man underwent endovascular aortic repair for impending rupture of an inflammatory abdominal aortic aneurysm and was medicated steroids for approximately 2 years. Four years after endovascular aortic repair, he developed endograft infection with an aortoduodenal fistula and a left psoas abscess. He underwent total endograft excision, debridement, in situ reconstruction of the aorta using prosthetic grafts with omental coverage, and digestive tract reconstruction to prevent leakage. Pseudomonas aeruginosa was detected in the infected aortic sac. The patient has not experienced recurrence of infection in the 35 months since his operation.


Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Implante de Prótese Vascular/efeitos adversos , Prótese Vascular/efeitos adversos , Duodenopatias/microbiologia , Procedimentos Endovasculares/efeitos adversos , Fístula Intestinal/microbiologia , Infecções Relacionadas à Prótese/microbiologia , Infecções por Pseudomonas/microbiologia , Abscesso do Psoas/microbiologia , Fístula Vascular/microbiologia , Idoso , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Implante de Prótese Vascular/instrumentação , Desbridamento , Remoção de Dispositivo , Duodenopatias/diagnóstico por imagem , Duodenopatias/cirurgia , Procedimentos Endovasculares/instrumentação , Humanos , Fístula Intestinal/diagnóstico por imagem , Fístula Intestinal/cirurgia , Masculino , Omento/cirurgia , Infecções Relacionadas à Prótese/diagnóstico por imagem , Infecções Relacionadas à Prótese/cirurgia , Infecções por Pseudomonas/diagnóstico por imagem , Infecções por Pseudomonas/cirurgia , Abscesso do Psoas/diagnóstico por imagem , Abscesso do Psoas/cirurgia , Resultado do Tratamento , Fístula Vascular/diagnóstico por imagem , Fístula Vascular/cirurgia
9.
Ann Vasc Surg ; 68: 571.e9-571.e13, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32422293

RESUMO

Visceral artery pseudoaneurysm (PSA) complicated by pancreatitis is a relatively rare and potentially life-threatening condition. The formation of pancreatic PSA is mainly attributed to continuous inflammation response, which induces the enzymatic autodigestion of the adjacent artery wall. The spleen artery is the most affected vessel, and other vessels such as gastroduodenal artery (GDA) and pancreaticoduodenal artery are usually involved. The treatment options for pancreatic PSA include conservative therapy, open surgery (OS), and endovascular procedure. Currently, no broad consensus on the indications for pancreatic PSA treatment is available because of the rarity of the disease. We report an urgent case of a threatened ruptured GDA PSA with duodenal necrosis complicated by chronic pancreatitis that has been treated successfully with OS. The treatment choice, puzzles, and reflections of this case were all discussed in this paper.


Assuntos
Falso Aneurisma/complicações , Duodenopatias/etiologia , Duodeno/irrigação sanguínea , Pancreatite Crônica/etiologia , Estômago/irrigação sanguínea , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/cirurgia , Duodenopatias/diagnóstico por imagem , Duodenopatias/patologia , Duodenopatias/cirurgia , Duodeno/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Necrose , Pancreatite Crônica/diagnóstico por imagem , Pancreatite Crônica/cirurgia , Resultado do Tratamento
11.
Vasc Endovascular Surg ; 54(5): 445-448, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32295492

RESUMO

Aortoduodenal fistula after endovascular treatment of abdominal aortic aneurysm is a very rare but life-threatening complication. Herein, we describe 4 cases of aortoduodenal fistula diagnosed at 15 to 78 months after the index aortic intervention, all successfully treated by surgery. All patients underwent primary repair of the duodenal wall, creation of tube duodenostomy, stent graft removal, and in situ reconstruction using a rifampicin-soaked prosthesis. Patients received prolonged antibiotic treatment for at least 2 months postoperatively, and all were free of recurrent infection at follow-up. Prompt and appropriate surgical intervention is required to effectively manage this condition.


Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Doenças da Aorta/etiologia , Implante de Prótese Vascular/efeitos adversos , Duodenopatias/etiologia , Procedimentos Endovasculares/efeitos adversos , Fístula Intestinal/etiologia , Fístula Vascular/etiologia , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/uso terapêutico , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Doenças da Aorta/diagnóstico por imagem , Doenças da Aorta/cirurgia , Prótese Vascular , Implante de Prótese Vascular/instrumentação , Remoção de Dispositivo , Duodenopatias/diagnóstico por imagem , Duodenopatias/cirurgia , Duodenostomia , Procedimentos Endovasculares/instrumentação , Humanos , Fístula Intestinal/diagnóstico por imagem , Fístula Intestinal/cirurgia , Masculino , Stents , Resultado do Tratamento , Fístula Vascular/diagnóstico por imagem , Fístula Vascular/cirurgia
12.
Radiol Med ; 125(4): 339-347, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31893332

RESUMO

AIM: To determine the diagnostic performance of 64-slice multidetector computed tomography (64-MDCT) in detecting periampullary duodenal diverticula. MATERIALS AND METHODS: Medical profiles of 120 endoscopic retrograde cholangiopancreatography (ERCP)-proven patients with (n = 100) and without (n = 20) periampullary duodenal diverticula who had undergone 64-MDCT were retrospectively reviewed. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 64-MDCT in detecting periampullary duodenal diverticula were calculated. Potential factors that might influence the diagnostic performance of 64-MDCT in such patients were also examined. RESULTS: Patients were 60 males and 60 females with the mean age of 68.8 ± 12.7 (27-93) years. Indications of ERCP were common bile duct stricture (n = 62) or stone (n = 41), biliary cholestasis (n = 16) and acute cholangitis (n = 1). The sensitivity, specificity, PPV, and NPV of 64-MDCT in detecting periampullary duodenal diverticula were 76%, 100%, 100%, and 45.5%, respectively. The size of diverticula was the only predictor of 64-MDCT performance, with better results observed in larger (> 20 mm) diverticula. CONCLUSION: 64-MDCT is a highly specific imaging modality in detecting periampullary duodenal diverticula. The diagnostic performance of 64-MDCT increases for larger diverticula.


Assuntos
Divertículo/diagnóstico por imagem , Duodenopatias/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Colangiopancreatografia Retrógrada Endoscópica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada Multidetectores , Estudos Retrospectivos
14.
Dig Endosc ; 32(1): 84-95, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31309619

RESUMO

OBJECTIVES: Endoscopic biopsies for nonampullary duodenal epithelial neoplasms (NADENs) can induce submucosal fibrosis, making endoscopic resection difficult. However, no biopsy-free method exists to distinguish between NADENs and non-neoplasms. We developed a diagnostic algorithm for duodenal neoplasms based on magnifying endoscopy findings and evaluated the model's diagnostic ability. METHODS: Magnified endoscopic images and duodenal lesion histology were collected consecutively between January 2015 and April 2016. Diagnosticians classified the surface patterns as pit, groove or absent. In cases of nonvisible surface patterns, the vascular pattern was evaluated to determine regularity or irregularity. The correlation between our algorithm (pit-type or absent with irregular vascular pattern) and the lesion histology were evaluated. Four evaluators, who were blinded to the histology, also classified the endoscopic findings and evaluated the diagnostic performance and interobserver agreement. RESULTS: Endoscopic images of 114 lesions were evaluated (70 NADENs and 44 non-neoplasms, 31 in the superior and 83 in the descending and horizontal duodenum). Of the NADEN surface patterns, 88% (62/70) were pit-type, while 79% (35/44) of the non-neoplasm surface patterns were groove-type. Our diagnostic algorithm for differentiating NADENs from non-neoplasms was high (sensitivity 96%, specificity 95%) in the descending and horizontal duodenum. The evaluators' diagnostic performances were also high, and interobserver agreement for the algorithm was good between each diagnostician and evaluator (κ = 0.60-0.76). CONCLUSION: Diagnostic performance of our algorithm sufficiently enabled eliminating endoscopic biopsies for diagnosing the descending and horizontal duodenum.


Assuntos
Adenocarcinoma/diagnóstico por imagem , Neoplasias Duodenais/diagnóstico por imagem , Duodenoscopia , Duodeno/diagnóstico por imagem , Imagem de Banda Estreita , Adenocarcinoma/diagnóstico , Adenocarcinoma/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Algoritmos , Biópsia , Duodenopatias/diagnóstico por imagem , Duodenopatias/patologia , Neoplasias Duodenais/diagnóstico , Neoplasias Duodenais/patologia , Duodeno/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
15.
Ann Vasc Surg ; 63: 455.e11-455.e15, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31622759

RESUMO

We report a case of an infrarenal abdominal aortic aneurysm (AAA) with unrecognized primary aortoduodenal fistula (ADF), treated by endovascular aortic repair (EVAR). Endograft infection was diagnosed 12 months thereafter. The associated ADF was uncovered during open surgery, which included endograft extraction, in situ aortic reconstruction with a cryopreserved homograft (CHG) and duodenal repair. The patient was urgently reoperated in the early postoperative course, due to CHG rupture and subsequent hemorrhagic shock. After establishing control of hemorrhage, CHG was explanted, followed by aortic ligation and extraanatomical reconstruction with axillofemoral bypass. The importance of timely diagnosis of primary ADF prior to AAA repair, as well as treatment options and optimal materials for simultaneous aortic and bowel reconstruction in the setting of primary or secondary ADF, are discussed.


Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Implante de Prótese Vascular/efeitos adversos , Prótese Vascular/efeitos adversos , Duodenopatias/complicações , Procedimentos Endovasculares/efeitos adversos , Fístula Intestinal/complicações , Infecções Relacionadas à Prótese/microbiologia , Fístula Vascular/complicações , Aneurisma da Aorta Abdominal/complicações , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Implante de Prótese Vascular/instrumentação , Remoção de Dispositivo , Duodenopatias/diagnóstico por imagem , Duodenopatias/cirurgia , Procedimentos Endovasculares/instrumentação , Humanos , Fístula Intestinal/diagnóstico por imagem , Fístula Intestinal/cirurgia , Masculino , Pessoa de Meia-Idade , Infecções Relacionadas à Prótese/diagnóstico , Infecções Relacionadas à Prótese/cirurgia , Recidiva , Reoperação , Resultado do Tratamento , Fístula Vascular/diagnóstico por imagem , Fístula Vascular/cirurgia
16.
Rev. esp. investig. quir ; 23(1): 25-27, 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-191768

RESUMO

OBJETIVO: Exponer la posibilidad de manejo inicialmente conservador de la perforación duodenal de origen diverticular, mediante antibioterapia intravenosa y drenaje percutáneo con intervención quirúrgica diferida. MATERIAL Y MÉTODOS: Descripción de un caso clínico -según las normas CONSORT-, así como las justificaciones al tratamiento conservador y el tipo de cirugía posterior realizados. RESULTADOS: La instauración de antibioterapia (piperacilina-tazobactam) y la realización de un drenaje retroperitoneal ecoguiado permitieron un correcto control inicial del foco infeccioso. Transcurridos 15 días se practicó la intervención quirúrgica definitiva, con la realización de laparotomía, resección de la tercera y cuarta porciones duodenales incluyendo el primer asa yeyu-nal, y reconstrucción mediante duodenoyeyunostomía latero-lateral manual. DISCUSIÓN: En toda perforación duodenal se debe valorar la necesidad de cirugía de entrada. No obstante, el manejo conservador mediante antibioterapia y drenaje percutáneo puede permitir una indicación diferida de la misma. CONCLUSIÓN: Ante pacientes seleccionados -en ausencia de repercusión séptica o hemodinámica- la realización de un drenaje percutáneo inicial con posterior intervención quirúrgica puede comportar una estrategia de tratamiento efectiva en la disminución de la morbimortalidad que esta infrecuente entidad presenta


OBJECTIVE: To show the possibility of initial conservative management of a perforaed duodenal diverticulum with intravenous an-tibiotherapy, percutaneous drainage and deferred surgical intervention. METHODS: Description of a clinical case -following the CONSORT recommendations-, the reasons of the conservative management and the type of surgical intervention. RESULTS: It was initially possible to control the infectious site with the combination of intravenous antibiotherapy (piperacyline-tazobactam) and a retroperitoneal ecoguided drainage. After 15 days the definitive surgical procedure was made. A laparotomy, resection of the third and fourth duodenal segments and manual latero-lateral duodenojejunostomy was performed. DISCUSSION: Event thought surgical intervention should be evaluated in all the duodenal perforations as the first procedure, the conservative management with antibiotherapy and percutaneous drainage can make possible the deferred surgery. CONCLUSION: In selected patients -absence of septic or hemodynamic repercussion- a step strategy, combination of intravenous antibiotherapy and percutaneous drainage, with a deferred surgical procedure can be an effective treatment strategy with low morbimortality of this infrequent entity


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Duodenopatias/terapia , Perfuração Intestinal/terapia , Duodenopatias/diagnóstico por imagem , Perfuração Intestinal/diagnóstico por imagem , Antibacterianos/uso terapêutico , Laparotomia , Terapia Combinada , Tomografia Computadorizada por Raios X
17.
BMJ Case Rep ; 12(12)2019 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-31843775

RESUMO

Left paraduodenal hernias are the most common type of congenital internal hernia, but they are difficult to diagnose without appropriate imaging. A 79-year-old man with a history of recurrent abdominal pain had another similar episode of abdominal pain, which prompted him to seek evaluation. The pain resolved spontaneously on arrival to the hospital. Enhanced CT scan showed the characteristic findings of a left paraduodenal hernia and laparoscopic repair was undertaken. The small intestine was reduced successfully, and the hernia orifice was approximated with a continuous closure. He was discharged uneventfully 4 days after admission. The characteristic clinical and imaging findings of paraduodenal hernias are reviewed. Laparoscopic repair is reasonable in patients who have a paraduodenal hernia without intestinal ischemia.


Assuntos
Duodenopatias/cirurgia , Hérnia/diagnóstico , Herniorrafia/métodos , Laparoscopia/métodos , Dor Abdominal/etiologia , Idoso , Duodenopatias/diagnóstico por imagem , Humanos , Masculino , Tomografia Computadorizada por Raios X
18.
BMJ Case Rep ; 12(12)2019 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-31811091

RESUMO

A 34-year-old man presented with acute severe left-sided abdominal and flank pain with associated postprandial nausea and vomiting. CT imaging revealed findings suspicious for a closed loop small bowel obstruction. Intraoperative findings were that of a left paraduodenal hernia (of Landzert) secondary to a mesenteric defect immediately posterior to the ascending branch of the left colic artery. The defect was closed via minilaparotomy. Unfortunately, his postoperative course was complicated by small bowel obstruction which required further laparotomy and adhesiolysis. The patient eventually made a good recovery. Here, we present a rare case of intestinal obstruction and discuss the aetiologies and management of this unusual phenomenon.


Assuntos
Duodenopatias/diagnóstico , Hérnia/diagnóstico , Obstrução Intestinal/diagnóstico , Dor Abdominal/etiologia , Adulto , Diagnóstico Diferencial , Duodenopatias/complicações , Duodenopatias/diagnóstico por imagem , Duodenopatias/cirurgia , Hérnia/complicações , Hérnia/diagnóstico por imagem , Humanos , Obstrução Intestinal/complicações , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/cirurgia , Masculino , Tomografia Computadorizada por Raios X
19.
Arch. argent. pediatr ; 117(6): 648-650, dic. 2019. ilus
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-1046632

RESUMO

El síndrome de la arteria mesentérica superior es una enfermedad poco frecuente en pediatría. Se produce por la compresión de la tercera porción duodenal a su paso entre la arteria mesentérica superior y la aorta abdominal (compás aortomesentérico). La mayoría de los pacientes presentan factores predisponentes:pérdida de peso aguda o compresiones extraabdominales.Se presenta el caso de una niña de 12 años de edad a quien se le diagnosticó el síndrome sin presentar factores predisponentes.Comenzó de modo súbito con náuseas, vómitos incoercibles y dolor abdominal, que era posprandial y se aliviaba, llamativamente, en decúbito lateral izquierdo. Esto constituyó la sospecha clínica del síndrome, por lo que se solicitó una angio tomografía computada abdominal y se observó el estrechamiento del compás aortomesentérico. Se realizó un tratamiento médico conservador, sin respuesta clínica. Se decidió el tratamiento quirúrgico y se logró la resolución del cuadro clínico


The superior mesenteric artery syndrome is rarely seen in children. It results from an intestinal obstruction due to compression of the third portion of duodenum between the superior mesenteric artery and the abdominal aorta. In most of the cases there are predisposing factors such as rapid weight loss or extra-abdominal compression.We report a case of a superior mesenteric artery syndrome in a twelve-year-old female patient without predisposing factors. The girl began suddenly with nauseas, continuous vomiting and abdominal pain. The abdominal pain was postprandial and it decreased in left lateral decubitus position. Clinically, this characteristic suggested superior mesenteric artery syndrome. Angio-computed tomography scan confirmed the diagnosis. Given that conservative treatment ultimately failed, patient was subjected to surgery and the illness was resolved.


Assuntos
Humanos , Feminino , Criança , Síndrome da Artéria Mesentérica Superior/cirurgia , Síndrome da Artéria Mesentérica Superior/diagnóstico por imagem , Jejunostomia , Duodenopatias/diagnóstico por imagem , Obstrução Duodenal
20.
Rev Esp Enferm Dig ; 111(12): 961-962, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31617363

RESUMO

Mucormycosis is a rare and fatal infection, largely confined to immunocompromised hosts. Duodenal involvement is extremely rare. We report a case of a 67-year-old female presented with hematemesis eventually diagnosed with duodenal mucormycosis, while radiology characteristics suggested malignancy.


Assuntos
Duodenopatias/complicações , Hemorragia Gastrointestinal/etiologia , Imunocompetência , Mucormicose/complicações , Idoso , Diagnóstico Diferencial , Duodenopatias/diagnóstico por imagem , Neoplasias Duodenais/diagnóstico por imagem , Feminino , Hemorragia Gastrointestinal/diagnóstico por imagem , Hematemese/diagnóstico por imagem , Hematemese/etiologia , Humanos , Mucormicose/diagnóstico por imagem , Tomografia Computadorizada por Raios X
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...