Duodenal and Colonic Metastases of Ovarian Neoplasm Metástases Duodenais e Cólicas de Neoplasia do Ovário
نویسندگان
چکیده
∗ Corresponding author. E-mail address: [email protected] (S. Barbeiro). before, the patient was submitted to gastrointestinal endoscopic examination (endoscopy and colonoscopy) that were normal. She was pale and her vital signs were stable. The abdomen was distended and asymmetric, with an abdominal surgical scar in midline and multiple visible and palpable masses in all quadrants (Fig. 1). Laboratory tests showed hemoglobin of 8.3 g/dL. Endoscopy demonstrated an excavated ulcer with elevated irregular borders, in the antero-inferior wall of duodenal first portion with no major bleeding stigmata (Fig. 2) and endoscopic biopsies were performed. Blood transfusion and medical treatment were started and clinical improvement was observed. However, on the third day after admission she had haematochezia. A colonoscopy was performed and showed two ulcerated masses in the sigmoid colon with active bleeding (Fig. 3). Endoscopic hemostasis with argon plasma coagulation was attempted without success. Biopsies were done. Histopathological examination confirmed metastatic malignant ovarian neoplasm in duodenum and colon (Fig. 4).
منابع مشابه
Duodenal and Colonic Metastases of Ovarian Neoplasm
http://dx.doi.org/10.1016/j.jpge.2015.04.006 2341-4545/© 2015 Sociedade Portuguesa de Gastrenterologia. Published CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4 efore, the patient was submitted to gastrointestinal endocopic examination (endoscopy and colonoscopy) that were ormal. She was pale and her vital signs were stable. he abdomen was distended and asymmetric, with an ...
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