Preoperativno pogrešno dijagnostikovan gastrointestinalni stromalni tumor hirurški „preveden” u duplikacionu cistu želuca

  • Ranko Lazović Clinical Center of Montenegro, Surgery Clinic, Center for Digestive Surgery, Clinic of Internal Medicine, Podgorica, Montenegro
  • Brigita Smolović Clinical Center of Montenegro, Surgery Clinic, Department for Gastroenterohepatology, Podgorica, Montenegro
  • Ljiljana Vučković Clinical Center of Montenegro, Surgery Clinic, Center for Pathology and Forensic Medicine, Podgorica, Montenegro
  • Miodrag Radunović Clinical Center of Montenegro, Surgery Clinic, Center for Digestive Surgery, Podgorica, Montenegro
DOI: https://doi.org/10.2298/VSP151102305L
Ključne reči: gastrointestinal stromal tumors||, ||gastrointestinalni stromalni tumori, stomach||, ||želudac, cysts||, ||ciste, diagnosis, differential||, ||dijagnoza, diferencijalna, digestive system surgical procedures||, ||hirurgija digestivnog sistema, procedure, treatment outcome||, ||lečenje, ishod,

Sažetak


Uvod. Gastrointestinalne duplikature su retke kongenitalne anomalije naročito u odrasloj populaciji koje mogu nastati duž čitavog gastrointestinalnog trakta. Najređe su želudačne duplikature koje čine 2–8% svih gastrointestinalnih duplikatura. Neobične embrionalne malformacije mogu se naći i u odrasloj populaciji i zbog toga bi uvek trebalo da budu razmotrene u diferencijalnoj dijagnozi torako-abdominalnih tumoroznih promena. Nejasni nalazi dobijeni tokom preoperativne dijagnostike su razlog prezentacije ovog slučaja. Prikaz bolesnika. Prikazali smo pacijentkinju, staru 33 godine sa tumoroznom promenom u zidu želuca koja je prema endoskopsko-ultrazvučnim karakteristikama izgledala kao gastrointestinalni stromalni tumor. Intraoperativno je ustanovljeno da je promena u stvari cistična formacija sa želatinoznim sadržajem, a histološkim pregledom je potvrđena dijagnoza želudačne duplikacione ciste.
Zaključak. Preoperativna dijagnoza želudačnih duplikacionih cista je uvek izazov za kliničare. Morfološki izgled ovih duplikatura je različit. To je razlog da se ove anomalije imaging metodama, čak i onim najsuperiornijim, pogrešno dijagnostikuju tako da se time hirurgija premešta u sastavni deo dijagnostičkog algoritma.

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Objavljeno
2018/08/23
Broj časopisa
Vol. 74 Br. 12 (2017)
Rubrika
Prikaz bolesnika