| Autor: |
Sánchez Acedo P; Servicio de Cirugía General, Complejo Hospitalario de Navarra, Pamplona, 31008, Spain. pablosanchez_84@hotmail.com., Herrera Cabezón J, Tarifa Castilla A, Zazpe Ripa C, Lera Tricas JM |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Anales del sistema sanitario de Navarra [An Sist Sanit Navar] 2015 May-Aug; Vol. 38 (2), pp. 333-7. |
| DOI: |
10.23938/ASSN.0085 |
| Abstrakt: |
Angiosarcoma of the gallbladder is an infrequent pathology but has a high morbidity and mortality. There are only 10 references in the international literature. We present a case treated in our center and we review the cases published since 1956. An 81 year-old male patient with abdominal pain, asthenia and dyspnea. Analytically anemia and leukocytosis. Exploration found a distended abdomen, right hypochondrium pain, with defense. Abdominal echography and a CT were requested with a diagnosis of acute cholecystitis and he was admitted for antibiotic treatment. The patient did not evolve favorably and was subjected to emergency surgery, which found a haemoperitoneum and a gallbladder with a tumoral appearance that could not be totally extirpated. He died 20 days after the operation. The report from pathological anatomy was compatible with epithelioid angiosarcoma of the biliary gallbladder. Gallbladder angiosarcoma is a neoplasia with a bad prognosis, whose clinical presentation can be mistaken for acute cholecystitis. Improving the prognosis of this disease involves carrying out early diagnosis and surgical treatment. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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