Tumor estromal gastrointestinal en duodeno

作者: Rafael Garatea , Carlos Contardo , Domingo Morales , Ofelia Castillo , Oscar Frisancho

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摘要: Paciente mujer de 64 anos edad, quien hace dos estuvo hospitalizada en otra institucion para el tratamiento un absceso lobulo hepatico derecho. Durante esa hospitalizacion se diagnostico tumor duodenal por tomografia; sin embargo, no completo estudio sobre este hallazgo. Previa a la actual hospitalizacion, paciente internada una clinica privada, donde fue tratada con antibioticos imagen sugestiva “absceso organizado” cabeza del pancreas. Desde mes presentaba fiebre, dolor abdominal y masa palpable cuadrante superior derecho abdomen. Se le realizo tomografia espiral multicorte trifasica, reconstruccion curvada pancreas que permitio reconocer tumoracion ovoidea 80 x 60 mm, area necrosis central e intenso realce contraste (fase arterial), localizada entre segunda tercera porcion duodenal, proxima La endoscopia alta demostro compresion extrinseca duodenal. sometida reseccion tumoral complicaciones histologia especimen quirurgico revelo Tumor Estromal Gastrointestinal (GIST) Duodenal, crecimiento transmural extraluminal. Presentamos caso ser inusual presentacion tipo tumores.

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