Nápoles VMB, Ornia GMM, Pérez ROD, Lorenzo CF, Rodríguez BJ

Language: Spanish
References: 11
Page:
PDF size: 111.97 Kb.

ABSTRACT

Background: Malignant neoplasias of the small intestine are not very common and the diagnosis is late because they are usually asymptomatic or the symptoms are intermittent and inespecific. Objective: To offer a clinical-endoscopical and radiological teaching of the way of the presentation of the neoplasia of the duodenal bulb that made its debut with high digestive hemorrhage. Case presentation: A 75 years old male patient who was admitted due to a high digestive bleeding in a way of dark vomits, several exams were performed, such as esophagogastroduodenoscopy as well as biopsy taking for histological study whose definite diagnosis was adenocarcinoma of the duodenal bulb. Conclusions: In the diseases that affect the gastrointestinal tract it is necessary to bear in mind as a nosologic diagnosis this type of malignant tumor since an timely treatment can assure a satisfactory evolution and a major survival for the patient.

REFERENCES

1. Hernández Urra M, González González EL, Rodríguez González G. Adenocarcinoma primario de la tercera porción duodenal. Presentación de caso. Medicentro [Internet]. 2011 [citado 2015 May 13]; 1:94-6. Disponible en: http://www.medicentro.sld.cu/index.php/medicentro/article/viewFile/87/116

2. Rosas Marcos E, Frisancho Velarde O, Yabar Berrocal A. Neoplasia maligna duodenal: pérfil Clínico - patológico. Rev Gastroenterol Perú [Internet]. 2003 [citado 2015 May 13]; 23(2). Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1022-51292003000200003&script=sci_arttext

3. Chang HK, Yu E, Bae YK, Jang KT. Adenocarcinoma of the small intestine: a multi-institutional study of 197 surgically resected cases. Hum Pathol [Internet]. 2010 Aug [citado: 2010 10];41(8). Available from: http://www.humanpathol.com/article/S0046-8177%2810%2900017-1/abstract

4. Fuentes Rodríguez A, Heres Salazar AI, Guerrero Almaguer CM, Martínez Duran Y, García Rojas D. Paciente con adenocarcinoma de bulbo duodenal con metástasis pulmonar y suprarrenal. CCM [Internet]. 2013 Jul-sep [citado 2015 May 13];17(3):387-91. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1560-43812013000300021&script=sci_arttext

5. De la Fuente SC, Flisfisch FH. Tumores del Intestino Delgado. Rev Medicina y Humanidades [Internet]. 2011[citado 2015 May 13]; 3(3). Disponible en: http://www.medicinayhumanidades.cl/ediciones/n3_2011/05_TUMORES_DE_INTESTINO_DELGADO.pdf

6. McCarron EC, Gibbs J, Fakih M, Nava HR, Rajput A. Duodenal Adenocarcinoma: vague complaints, delayed diagnosis and poor outcome. Proceedings in the ASCO (Gastrointestinal Cancers Symposium) 2004;171A

7. Poultsides GA, Huang LC, Cameron JL, Tuli R, Lan L, Hruban RH, et al. Duodenal Adenocarcinoma: Clinicopathologic Analysis and Implications for Treatment. Ann Surg Oncol [Internet]. 2012 Jun [cited: 2015 jan];19(6):1928-35. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3663711/

8. Buchs NC, Bucher P, Morel P. Segmental duodenectomy for gastrointestinal stromal tumor of the duodenum. World J Gastroentero [Internet]. 2010 Jun [Cited: 2015 jan 12]; 16(22): 2788–92. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2883135/

9. Zureikat AH, Heller MT. Zeh HJ. Cancer of the small intestine. In: DeVita VT, Lawrence TS, Rosenberg SA. Principles and Practice of Oncology. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. p. 1048-59.

10. Khor TS, Brown I, Kattampallil J, Yusoff I, Kumarasinghe PM. Duodenal Adenocarcinoma arising from a pyloric gland adenoma with a brief review of the literature BMJ Case Reports [Internet]. 2010 [cited: 2015jan 15; 29. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3028104/

11. Tadashi T. Pathologic observations of the duodenum in 615 consecutive duodenal specimens in a single Japanese hospital: II. Malignant lesions. Int J Clin Exp Pathol [Internet]. 2012 [cited: 2015 Jan 13] ; 5(1): 52–7. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267486/