Umbilical metastasis after laparoscopic cholecystectomy
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/1887 |
Resumo: | Context: Laparoscopic cholecystectomy has been considered the surgical gold standard for gallbladder removal since its original description, and is performed worldwide. The incidental finding of gallbladder carcinoma during this procedure is a rare event, and preoperative diagnosis is difficult. Objective: This is a case report of metastasis in the umbilical cannula site of an unsuspected gallbladder carcinoma submitted to laparoscopic cholecystectomy. Case report: A 78-year-old male patient presented with a complaint of upper right quadrant abdominal pain, nausea, and vomiting of recent onset. There were no signs of jaundice, and liver function tests were normal. Abdominal ultrasound revealed a gallbladder with a thick wall and presence of multiple gallstones, with no indication of tumor. The patient underwent elective laparoscopic cholecystectomy using the four-trocar technique, and the surgery was uneventful. However, histological examination showed a well-differentiated tubular adenocarcinoma penetrating the full thickness of the gallbladder wall. Four months later, the patient presented periumbilical pain and a palpable semi-fixed clinically tumoral mass measuring 7 x 7 cm at the umbilicus. Patient was submitted to resection of the paraumbilical tumor, and diffuse peritoneal metastases were evidenced. The patient died seven moths after the laparoscopic cholecystectomy. |
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Umbilical metastasis after laparoscopic cholecystectomyMetástase umbilical após colecistectomia laparoscópicaColecistectomia laparoscópicaLaparoscopiaNeoplasias da vesícula biliarMetástase neoplásicaLaparoscopic cholecystectomyLaparoscopyGallbladder neoplasmsMetastasisContext: Laparoscopic cholecystectomy has been considered the surgical gold standard for gallbladder removal since its original description, and is performed worldwide. The incidental finding of gallbladder carcinoma during this procedure is a rare event, and preoperative diagnosis is difficult. Objective: This is a case report of metastasis in the umbilical cannula site of an unsuspected gallbladder carcinoma submitted to laparoscopic cholecystectomy. Case report: A 78-year-old male patient presented with a complaint of upper right quadrant abdominal pain, nausea, and vomiting of recent onset. There were no signs of jaundice, and liver function tests were normal. Abdominal ultrasound revealed a gallbladder with a thick wall and presence of multiple gallstones, with no indication of tumor. The patient underwent elective laparoscopic cholecystectomy using the four-trocar technique, and the surgery was uneventful. However, histological examination showed a well-differentiated tubular adenocarcinoma penetrating the full thickness of the gallbladder wall. Four months later, the patient presented periumbilical pain and a palpable semi-fixed clinically tumoral mass measuring 7 x 7 cm at the umbilicus. Patient was submitted to resection of the paraumbilical tumor, and diffuse peritoneal metastases were evidenced. The patient died seven moths after the laparoscopic cholecystectomy.Contexto: A colecistectomia laparoscópica é considerada a cirurgia padrão-ouro para remoção da vesícula biliar. O achado acidental de um carcinoma da vesícula, durante este procedimento, é pouco comum e de difícil diagnóstico pré-operatório. Objetivo: Relatar um caso de implante na cicatriz umbilical de um carcinoma de vesícula biliar não suspeitado no pré-operatório após uma colecistectomia laparoscópica. Relato do caso: Paciente de 78 anos apresentou queixas de dor no hipocôncrio direito, náuseas e vômitos de início súbito. Não havia sinais de icterícia e as provas de função hepática eram normais. A ultra-sonografia abdominal revelou espessamento da parede da vesícula biliar com múltiplos cálculos biliares, sem sinais de tumor. O paciente submeteu-se a uma colecistectomia laparoscópica sem intercorrências. O exame histopatológico revelou um adenocarcinoma tubular bem diferenciado, invadindo completamente a parede da vesícula biliar. Quatro meses depois, o paciente apresentou dor periumbilical e uma massa semifixa palpável medindo 7x7 cm com aspecto tumoral no umbigo. O paciente foi submetido a uma ressecção paraumbilical do tumor, sendo evidenciadas metástases peritoneais. O paciente evoluiu para óbito sete meses após a colecistectomia laparoscópica.INCA2006-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de Casoapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/188710.32635/2176-9745.RBC.2006v52n2.1887Revista Brasileira de Cancerologia; Vol. 52 No. 2 (2006): Apr./May/June; 147-150Revista Brasileira de Cancerologia; Vol. 52 Núm. 2 (2006): abr./mayo/jun.; 147-150Revista Brasileira de Cancerologia; v. 52 n. 2 (2006): abr./maio/jun.; 147-1502176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1887/1144Cruz, Felipe José Silva MeloBatista, Cíntia BarbozaPortela, Lívia Maria da PazVieira, Sabas Carlosinfo:eu-repo/semantics/openAccess2021-11-29T20:28:15Zoai:rbc.inca.gov.br:article/1887Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:28:15Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Umbilical metastasis after laparoscopic cholecystectomy Metástase umbilical após colecistectomia laparoscópica |
title |
Umbilical metastasis after laparoscopic cholecystectomy |
spellingShingle |
Umbilical metastasis after laparoscopic cholecystectomy Cruz, Felipe José Silva Melo Colecistectomia laparoscópica Laparoscopia Neoplasias da vesícula biliar Metástase neoplásica Laparoscopic cholecystectomy Laparoscopy Gallbladder neoplasms Metastasis |
title_short |
Umbilical metastasis after laparoscopic cholecystectomy |
title_full |
Umbilical metastasis after laparoscopic cholecystectomy |
title_fullStr |
Umbilical metastasis after laparoscopic cholecystectomy |
title_full_unstemmed |
Umbilical metastasis after laparoscopic cholecystectomy |
title_sort |
Umbilical metastasis after laparoscopic cholecystectomy |
author |
Cruz, Felipe José Silva Melo |
author_facet |
Cruz, Felipe José Silva Melo Batista, Cíntia Barboza Portela, Lívia Maria da Paz Vieira, Sabas Carlos |
author_role |
author |
author2 |
Batista, Cíntia Barboza Portela, Lívia Maria da Paz Vieira, Sabas Carlos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Cruz, Felipe José Silva Melo Batista, Cíntia Barboza Portela, Lívia Maria da Paz Vieira, Sabas Carlos |
dc.subject.por.fl_str_mv |
Colecistectomia laparoscópica Laparoscopia Neoplasias da vesícula biliar Metástase neoplásica Laparoscopic cholecystectomy Laparoscopy Gallbladder neoplasms Metastasis |
topic |
Colecistectomia laparoscópica Laparoscopia Neoplasias da vesícula biliar Metástase neoplásica Laparoscopic cholecystectomy Laparoscopy Gallbladder neoplasms Metastasis |
description |
Context: Laparoscopic cholecystectomy has been considered the surgical gold standard for gallbladder removal since its original description, and is performed worldwide. The incidental finding of gallbladder carcinoma during this procedure is a rare event, and preoperative diagnosis is difficult. Objective: This is a case report of metastasis in the umbilical cannula site of an unsuspected gallbladder carcinoma submitted to laparoscopic cholecystectomy. Case report: A 78-year-old male patient presented with a complaint of upper right quadrant abdominal pain, nausea, and vomiting of recent onset. There were no signs of jaundice, and liver function tests were normal. Abdominal ultrasound revealed a gallbladder with a thick wall and presence of multiple gallstones, with no indication of tumor. The patient underwent elective laparoscopic cholecystectomy using the four-trocar technique, and the surgery was uneventful. However, histological examination showed a well-differentiated tubular adenocarcinoma penetrating the full thickness of the gallbladder wall. Four months later, the patient presented periumbilical pain and a palpable semi-fixed clinically tumoral mass measuring 7 x 7 cm at the umbilicus. Patient was submitted to resection of the paraumbilical tumor, and diffuse peritoneal metastases were evidenced. The patient died seven moths after the laparoscopic cholecystectomy. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-06-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Relato de Caso |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1887 10.32635/2176-9745.RBC.2006v52n2.1887 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/1887 |
identifier_str_mv |
10.32635/2176-9745.RBC.2006v52n2.1887 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1887/1144 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 52 No. 2 (2006): Apr./May/June; 147-150 Revista Brasileira de Cancerologia; Vol. 52 Núm. 2 (2006): abr./mayo/jun.; 147-150 Revista Brasileira de Cancerologia; v. 52 n. 2 (2006): abr./maio/jun.; 147-150 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042248768028672 |