Autor: |
Cecil Sorin, Mirea, Mihai Călin, Ciorbagiu, Cosmin Vasile, Obleagă, Emil, Moraru, Stelian Ştefăniţă, Mogoantă, Raluca Niculina, Ciurea, Maria Camelia, Foarfă, Alina Maria, Vîlcea, Ionică Daniel, Vîlcea |
Rok vydání: |
2018 |
Předmět: |
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Zdroj: |
Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie. 59(2) |
ISSN: |
2066-8279 |
Popis: |
This paper presents a very rarely encountered case of a 45-year-old female, admitted in our Surgical Clinic for upper digestive bleeding (repeated hematochezia). The upper endoscopy was negative, but the barium meal discovered an apparently extrinsic duodenal (D3) stenosis; abdominal ultrasound diagnosed a left liver mass suggesting a metastatic tumor. The hematochezia relapse, with hemodynamic instability imposed emergency surgery; on laparotomy, a bleeding tumor located on the duodenopancreatic region was discovered, and a pylorus-preserving pancreaticoduodenectomy (Traverso-Longmire) was performed. The histology and immunohistochemistry established the diagnosis of duodenal stromal tumor, CD34 and CD117 positive, with an estimated progression risk of 34%. The postoperative evolution was favorable, the patient being alive, four years after the surgery. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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