Gastric Pneumatosis: An Atypical Presentation of Desmoid Tumor

Case presentation: A middle-aged woman presented to the emergency department with a chief complaint of abdominal pain, fever, vomiting, and diarrhea. Abdominal computed tomography revealed gastric pneumatosis and air in the portal system. The patient had an unfavorable clinical course with pneumoper...

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Autores principales:	Catarina Jorge, Miguel Varela, Júlio Ricardo Soares, Hugo Uribe, Luis Flores, Javier Moreno
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/c5a94a6b21304354807fd3c5ea47271d
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spelling	oai:doaj.org-article:c5a94a6b21304354807fd3c5ea47271d2021-11-23T20:02:52ZGastric Pneumatosis: An Atypical Presentation of Desmoid Tumor2474-252X10.5811/cpcem.2021.5.50803https://doaj.org/article/c5a94a6b21304354807fd3c5ea47271d2021-11-01T00:00:00Zhttps://escholarship.org/uc/item/9jz0t7b0https://doaj.org/toc/2474-252XCase presentation: A middle-aged woman presented to the emergency department with a chief complaint of abdominal pain, fever, vomiting, and diarrhea. Abdominal computed tomography revealed gastric pneumatosis and air in the portal system. The patient had an unfavorable clinical course with pneumoperitoneum and septic shock due to secondary peritonitis. She underwent emergency laparotomy where neoformation of the mesentery root was found with infiltration of the small intestine and jejunal perforation. The anatomopathological study of the tumor revealed that it was a desmoid tumor. Discussion: To our knowledge this is the first report in the literature of gastric pneumatosis as the initial presentation of a mesenteric desmoid tumor. Although it usually has a benign clinical course, its locally invasive characteristics can lead to critical illness. Physicians shouldn’t overlook these types of complications, as early identification and surgical intervention can modify the prognosis and shorten hospital stay.Catarina JorgeMiguel VarelaJúlio Ricardo SoaresHugo UribeLuis FloresJavier MorenoeScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Catarina Jorge Miguel Varela Júlio Ricardo Soares Hugo Uribe Luis Flores Javier Moreno Gastric Pneumatosis: An Atypical Presentation of Desmoid Tumor
description	Case presentation: A middle-aged woman presented to the emergency department with a chief complaint of abdominal pain, fever, vomiting, and diarrhea. Abdominal computed tomography revealed gastric pneumatosis and air in the portal system. The patient had an unfavorable clinical course with pneumoperitoneum and septic shock due to secondary peritonitis. She underwent emergency laparotomy where neoformation of the mesentery root was found with infiltration of the small intestine and jejunal perforation. The anatomopathological study of the tumor revealed that it was a desmoid tumor. Discussion: To our knowledge this is the first report in the literature of gastric pneumatosis as the initial presentation of a mesenteric desmoid tumor. Although it usually has a benign clinical course, its locally invasive characteristics can lead to critical illness. Physicians shouldn’t overlook these types of complications, as early identification and surgical intervention can modify the prognosis and shorten hospital stay.
format	article
author	Catarina Jorge Miguel Varela Júlio Ricardo Soares Hugo Uribe Luis Flores Javier Moreno
author_facet	Catarina Jorge Miguel Varela Júlio Ricardo Soares Hugo Uribe Luis Flores Javier Moreno
author_sort	Catarina Jorge
title	Gastric Pneumatosis: An Atypical Presentation of Desmoid Tumor
title_short	Gastric Pneumatosis: An Atypical Presentation of Desmoid Tumor
title_full	Gastric Pneumatosis: An Atypical Presentation of Desmoid Tumor
title_fullStr	Gastric Pneumatosis: An Atypical Presentation of Desmoid Tumor
title_full_unstemmed	Gastric Pneumatosis: An Atypical Presentation of Desmoid Tumor
title_sort	gastric pneumatosis: an atypical presentation of desmoid tumor
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/c5a94a6b21304354807fd3c5ea47271d
work_keys_str_mv	AT catarinajorge gastricpneumatosisanatypicalpresentationofdesmoidtumor AT miguelvarela gastricpneumatosisanatypicalpresentationofdesmoidtumor AT julioricardosoares gastricpneumatosisanatypicalpresentationofdesmoidtumor AT hugouribe gastricpneumatosisanatypicalpresentationofdesmoidtumor AT luisflores gastricpneumatosisanatypicalpresentationofdesmoidtumor AT javiermoreno gastricpneumatosisanatypicalpresentationofdesmoidtumor
_version_	1718416119670243328

Gastric Pneumatosis: An Atypical Presentation of Desmoid Tumor

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