Adenocarcinoma en duplicación intestinal del íleon: Caso clínico

Gastrointestinal duplications are uncommon developmental abnormalities that occur anywhere along the gastrointestinal tract. We report a 36 year-old female admitted to the emergency room due to abdominal pain. Computed abdominal tomography demonstrated small bowel ¡oops surrounding a tubular cystic...

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Autores principales: Beltrán,Marcelo A, Barría,Carlos, Contreras,Mario A, Wilson,Christian S, Cruces,Karina S
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2009
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001000009
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spelling oai:scielo:S0034-988720090010000092009-12-02Adenocarcinoma en duplicación intestinal del íleon: Caso clínicoBeltrán,Marcelo ABarría,CarlosContreras,Mario AWilson,Christian SCruces,Karina S Adenocarcinoma mucinous Heal duplication Intestinal obstruction Gastrointestinal duplications are uncommon developmental abnormalities that occur anywhere along the gastrointestinal tract. We report a 36 year-old female admitted to the emergency room due to abdominal pain. Computed abdominal tomography demonstrated small bowel ¡oops surrounding a tubular cystic structure and peritoneal free fluid. The surgical exploration revealed multiple malignant implants covering the visceral and parietal peritoneum and infiltrating completely the omentum. At the Heal mesentery we found a tubular cystic whitish tumor measuring 12 cm of diameter and 15 cm on length. A complete resection of the tumor was not considered an option due to the extensive peritoneal dissemination. Thirty-four days after the operation the patient died. The histopathology of the cystic wall was compatible with the architecture of intestinal wall extensively infiltrated by a moderately differentiated mucinous adenocarcinoma; a mucosal lining in parts atrophic and in parts infiltrated or replaced by adenocarcinoma was observed. A well structured muscular layer was recognized, and the myenteric plexus was identified.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.10 20092009-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001000009es10.4067/S0034-98872009001000009
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Adenocarcinoma
mucinous
Heal duplication
Intestinal obstruction
spellingShingle Adenocarcinoma
mucinous
Heal duplication
Intestinal obstruction
Beltrán,Marcelo A
Barría,Carlos
Contreras,Mario A
Wilson,Christian S
Cruces,Karina S
Adenocarcinoma en duplicación intestinal del íleon: Caso clínico
description Gastrointestinal duplications are uncommon developmental abnormalities that occur anywhere along the gastrointestinal tract. We report a 36 year-old female admitted to the emergency room due to abdominal pain. Computed abdominal tomography demonstrated small bowel ¡oops surrounding a tubular cystic structure and peritoneal free fluid. The surgical exploration revealed multiple malignant implants covering the visceral and parietal peritoneum and infiltrating completely the omentum. At the Heal mesentery we found a tubular cystic whitish tumor measuring 12 cm of diameter and 15 cm on length. A complete resection of the tumor was not considered an option due to the extensive peritoneal dissemination. Thirty-four days after the operation the patient died. The histopathology of the cystic wall was compatible with the architecture of intestinal wall extensively infiltrated by a moderately differentiated mucinous adenocarcinoma; a mucosal lining in parts atrophic and in parts infiltrated or replaced by adenocarcinoma was observed. A well structured muscular layer was recognized, and the myenteric plexus was identified.
author Beltrán,Marcelo A
Barría,Carlos
Contreras,Mario A
Wilson,Christian S
Cruces,Karina S
author_facet Beltrán,Marcelo A
Barría,Carlos
Contreras,Mario A
Wilson,Christian S
Cruces,Karina S
author_sort Beltrán,Marcelo A
title Adenocarcinoma en duplicación intestinal del íleon: Caso clínico
title_short Adenocarcinoma en duplicación intestinal del íleon: Caso clínico
title_full Adenocarcinoma en duplicación intestinal del íleon: Caso clínico
title_fullStr Adenocarcinoma en duplicación intestinal del íleon: Caso clínico
title_full_unstemmed Adenocarcinoma en duplicación intestinal del íleon: Caso clínico
title_sort adenocarcinoma en duplicación intestinal del íleon: caso clínico
publisher Sociedad Médica de Santiago
publishDate 2009
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009001000009
work_keys_str_mv AT beltranmarceloa adenocarcinomaenduplicacionintestinaldelileoncasoclinico
AT barriacarlos adenocarcinomaenduplicacionintestinaldelileoncasoclinico
AT contrerasmarioa adenocarcinomaenduplicacionintestinaldelileoncasoclinico
AT wilsonchristians adenocarcinomaenduplicacionintestinaldelileoncasoclinico
AT cruceskarinas adenocarcinomaenduplicacionintestinaldelileoncasoclinico
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