Abdominal tomography importance on the Leiomyosarcoma of jejunum diagnosis
Keywords:
jejunum neoplasm/diagnosis, ultrasonography, axial computed tomographyAbstract
A 49-year-old patient presented to the internal medicine consultation office at the “Dr. Agostinho Neto” General teaching Hospital because of weight loss (20 pounds) and black stools in a period of 2 months before the evaluation. The physical examination revealed mild malnutrition and hypochlorous mucous membranes. The abdominal ultrasound image in the left hypochondrium showed a heterogeneous - polylobate - hypoechogenic mass measuring 68 x 61 mm with appearance of an adenomelagia. Computed tomography (CT) scan of the abdomen revealed an image with a density of 33 and 57 Hounsfield units (HU), measured 100 mm by 80 mm, polylobulated in jejunum topography, which with the contrasted study enhanced up to 67 UH with a tumor appearance. Surgical resection of the tumor with termino-terminal anastomosis was performed. Tumor biopsy diagnosed leiomyosarcoma. It was concluded that the study of the images was useful for the diagnosis of this disease.
Downloads
References
2. Sandoval RC, Lúquez MA, Marulanda FH, Otero RW. Sangrado del intestino delgado: enfoque y tratamiento. Rev Colom Gastroenterol [en línea]. 2017 [citado 14 Oct 2020]; 32(3):[aprox. 2 p.]. Disponible en: http://web.b.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=1&sid=6162202b-7d79-4798-9dc8-8ed3677ad085%40sessionmgr104
3. Jiménez CE, Lucena PJL, Artés CM, Sánchez TV. Metástasis hepatodiafragmática de tumores del estroma gastrointestinal duodenal. Rev Chil Cir [en línea]. 2016 [citado 14 Oct 2020]; 69(4):[aprox. 12 p.]. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0718-40262017000400002&lng=es&nrm=iso&tlng=es
4. Landell CJ, Martínez VC. Tumor del estroma gastrointestinal del estómago. Rev electrón. [en línea]. 2016 [citado 14 Oct 2020]; 41(8):[aprox. 12 p.]. Disponible en: http://www.revzoilomarinello.sld.cu/index.php/zmv/article/view/760
5. Ferrer RH, Rodríguez CY, Mesa IO, Zayas DL, Blanco AE. Tumor de estroma gastrointestinal en intestino delgado. Rev Cubana Cir [en línea]. 2016 [citado 14 Oct 2020];56(2):[aprox. 10 p.]. Disponible en: http://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=1&sid=c9447814-ba2b-4dc9-90e7-20e9ab5ef8c8%40sessionmgr4006
6. Valdés PEN, Hernández GM, León PO, Mendoza RS. Tumor del estroma extra-gastrointestinal. Informe de un caso de tumor primario en epiplón. Rev Méd Hosp Gen Méx [en línea]. 2016 [citado 14 Oct 2020]; 81(4):[aprox. 5 p.]. Disponible en: https://reader.elsevier.com/reader/sd/pii/s018510631730001x?token=4f0ffabcd6b0484ac0911a20ef0281b4bc814c26917d2f3a2f0cdc5a5fb190f56267fd65afa29cc1d78e94de7991df78
7. Baez B, Rodríguez O, Sánchez R, Stempel J, Rosciano J, Medina L. Invaginación intestinal en el adulto secundaria a sarcoma yeyunal. Resolución mediante abordaje laparoscópico: reporte de un caso y revisión de la literatura Vitae: Acad Biom Digl [en línea]. 2015 [citado 14 Oct 2020]; 61:[aprox. 2 p.]. Disponible en: https://dialnet.unirioja.es/servlet/revista?codigo=1882
8. Meis JM, Enzinger FM. Inflammatory fibrosarcoma of the mesentery and retro peritoneum. Am J Sur Pat. 1991; 15(12): 1146-1156.
