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Gastric Gist as Cause of High Digestive Hemorrhage

Journal of Biosciences and Medicines 2019年第1期7卷 42-47页

作者： Vinicius Moreira Paladino Thiago Sande Miguel Vinicius Sande Miguel Marcia Machado Galvao Pereira Fernando Antonio Galvao Pereira Carolina Galvao Teixeira caroline guida babinski Nayrton Kalys Cruz dos Anjos Caio Marcus de Andrade Lopes Daniel Almeida da Costa The Medical School at the Center of Higher Education of Valenca ValencaBrazil Unigranrio Medical School Rio de JaneiroBrazil Faculty of Medical Sciences and Health of Juiz de Fora Juiz de ForaBrazil

Introduction: Gastrointestinal stromal tumor (GIST) occurrence is uncommon and usually manifested by nonspecific signs and symptoms, which hinders its reasoning as a diagnostic hypothesis. The objective is to report a case of female GIST with curative treatment through video-laparoscopy with partial gastrectomy. Case report: A 61-year-old female patient attended the Luiz Gioseffi Jannuzzi School Hospital (HELGJ) emergency room, with a sudden onset of upper gastrointestinal bleeding with hemodynamic instability. After stabilization, she was admitted for diagnostic investigation, showing sub-epithelial lesion of antrum in upper digestive endoscopy (UDE) and solid-cystic mass in the gastric antrum to computed tomography (CT). The conduct was the video laparoscopy surgical approach with partial gastrectomy. The histopathological and immunohistochemical aspects of the surgical specimen showed a gastrointestinal stromal tumor (GIST) in a gastric antrum of low grade of malignancy, positive e-Kit and mycotic index (50 cga) Discussion: Compared to the scarce reports in literature, the case described presented typical epidemiology, but the clinical picture was not the most incident. Conclusions: Given the rarity of this pathology cases, it is essential to report these in order to elucidate the specificities and also to discuss diagnostic and therapeutic methods.

关键词： Gastrointestinal Stromal Tumor Gastrointestinal Hemorrhage Immunohistochemistry

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Mesenteric Adenitis as a Differential Appendicitis Diagnosis: Case Report

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Journal of Biosciences and Medicines 2018年第3期6卷 26-30页

作者： Vinicius Moreira Paladino Thiago Sande Miguel Bruna Sande Miguel Marcia Machado Galvao Pereira Fernando Antonio Galvao Pereira Junior Carolina Galvao Teixeira caroline guida babinski Naryrton Kalys Cruz dos Anjos Daniel Almeida da Costa Debora Trindade Martins Bruno Fonseca dos Santos The Medical School at the Center of Higher Education of Valenca ValencaBrazil Unigranrio Medical School Rio de JaneiroBrazil Suprema medical School Juiz de ForaBrazil

Mesenteric adenitis consists of an important differential diagnosis of potentially serious diseases such as acute appendicitis, since they manifest themselves with a similar clinical picture. Case report: A 17-year-old male patient presented with periumbilical abdominal pain for 2 days, of abrupt onset and moderate intensity, who gave away with a common analgesic, which progressed to the right iliac fossa (RIF) and increased of intensity. He also reported liquid diarrhea, with several episodes a day, without mucus and/or blood, 38°C fever, anorexia and vomiting. He was hospitalized for investigating a possible diagnostic of Acute Appendicitis. In the exams, it was considered mesenteric adenitis, and antibiotic therapy was prescribed. The patient had complete improvement at the end of treatment. Conclusions: Given its importance as a differential diagnosis of numerous pathologies, as well as controversial before the therapeutic and diagnostic conduct, it is essential to report these cases in order to elucidate the specificities of this disease.

关键词： Mesenteric Adenitis Appendicitis Case Report

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