Segmentale Kolonstenosen bei intestinal metastasierendem Mammakarzinom: Ein Beitrag zur Differentialdiagnose der Kolitis
| Autor: | P. Schmitz-Moormann, D. Maroske, H. Dombrowski, H. Koop, Rudolf Arnold, W. B. Schwerk |
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| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Linitis plastica business.industry medicine.medical_treatment Sigmoid colon General Medicine medicine.disease digestive system diseases Endoscopy Stenosis medicine.anatomical_structure medicine Radiology Colitis Differential diagnosis Breast carcinoma business Mastectomy |
| Zdroj: | DMW - Deutsche Medizinische Wochenschrift. 113:1101-1104 |
| ISSN: | 1439-4413 0012-0472 |
| Popis: | Four years after mastectomy for a scirrhous carcinoma a 71-year-old woman developed diarrhoea. Crohn's disease was suspected. At endoscopy a stenosis of the sigmoid colon was found which could not be passed: the mucosa was normal looking. Gastrointestinal radiography revealed segmental subtotal stenoses of the colon with linitis plastica, typical for tumour-caused infiltration, as well as indentations in the small intestine by mesenteric metastases. The diagnosis was confirmed by computed tomography and, finally, operation. Chemotherapy failed to produce any regression of the colon stenoses, and the patient died from mechanical ileus. In case of a similar history and colon stenoses of uncertain aetiology the possibility of intestinal metastases should be considered in the differential diagnosis. |
| Databáze: | OpenAIRE |
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