%0 Journal Article
%T Adenocarcinoma de intestino delgado. Presentaci車n de un caso Small Intestine Adenocarcinoma. A Case Report
%A Miguel 芍ngel Serra Vald谷s
%A Liudmila Carnesolta Su芍rez
%A Mar赤a de los 芍ngeles Pinto Correa
%J Finlay : Revista de Enfermedades no Transmisibles
%D 2012
%I Universidad de las Ciencias M谷dicas de Cienfuegos
%X Las neoplasias malignas de intestino delgado son raras y merece comunicar su forma de presentaci車n. En este art赤culo se presenta el caso de una paciente de 55 a os, con antecedentes de anemia de dif赤cil tratamiento desde hac赤a algunos meses y que ingres車 con 赤ctero obstructivo extrahep芍tico y v車mitos persistentes que le imped赤an alimentarse. Se practic車 endoscopia digestiva superior con tomas de biopsia y tomograf赤a axial computarizada abdominal. La biopsia mostr車 alteraciones histopatol車gicas correspondientes a un adenocarcinoma bien diferenciado de intestino delgado. Se realiz車 gastroyeyunostom赤a y derivaci車n externa de v赤as biliares para mejorar la sintomatolog赤a y el estado cl赤nico. La paciente falleci車 posteriormente a los 7 d赤as por hemorragia digestiva. El caso muestra entre sus formas de presentaci車n: sangrado digestivo alto con anemia secundaria, s赤ntomas gastrointestinales altos, por la infiltraci車n parcial y obstrucci車n con v車mitos y simula la posibilidad de un tumor de cabeza de p芍ncreas. Small intestine malignancies are rare and their presentation is worthy of being communicated. This article presents the case of a 55 years old female patient with a history of difficult to treat anemia for some months that was admitted with obstructive and extrahepatic jaundice as well as persisting vomiting that would not allow her to eat. The patient underwent digestive upper endoscopy with biopsy and abdominal computed tomography. The biopsy showed histopathological changes corresponding to a well-differentiated adenocarcinoma of the small intestine. Gastrojejunostomy was performed along with external biliary diversion to improve symptoms and clinical status. The patient died 7 days after these procedures, for gastrointestinal bleeding. The case shows, among its presentation features: upper gastrointestinal bleeding with secondary anemia and upper gastrointestinal symptoms by the infiltration and partial obstruction with vomiting and simulates the possibility of a pancreatic head tumor.
%K adenocarcinoma
%K intestino delgado
%K neoplasias intestinales
%U http://www.revfinlay.sld.cu/index.php/finlay/article/view/129