Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]

Detalhes bibliográficos
Autor(a) principal: Kupske, Abraão
Data de Publicação: 2011
Outros Autores: Kupski, Carlos, Kupske, Raquel
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8715
Resumo: Aims: This case report aims to describe an unusual presentation of gallbladder cancer, masked by Mirizzi Syndrome. Case description: a woman complained of nausea, dark urine and acholic stools started two months earlier, and jaundice started later. An abdominal ultrasound showed dilatation of the bile duct with choledocholithiasis and cholelithiasis. A cholangiopancreatography showed obstruction in the middle third of the common bile duct, without visualization of gallstones. The initial diagnosis was Mirizzi Syndrome. A stent was inserted in the main bile duct, to plan surgery. During surgery macroscopic lesions were found in gallbladder and peritoneum, which indicated interruption of the surgery and sample collection for biopsy. Pathological examination revealed adenocarcinoma. The patient was discharged with oncological follow-up plan and chemotherapy. Conclusions: The coexistence of Mirizzi Syndrome with carcinoma of the gallbladder is extremely rare, because both diseases are uncommon. Anatomopathological examination of all surgical specimens is always imperative for the definitive diagnosis of gallbladder tumor.
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spelling Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]Carcinoma de vesícula biliar mascarado por Síndrome de Mirizzi: relato de caso e revisão da literaturaGALLBLADDER / surgeryCHOLANGIOCARCINOMAGALLBRADDER NEOPLASMS / diagnosisCHOLEDOCHOLITHIASISCHOLESTASISCHOLANGIOGRAPHYMIRIZZI SYNDROMECASE REPORTSREVIEW LITERATURE AS TOPIC.VESÍCULA BILIAR / cirurgiaCOLANGIOCARCINOMANEOPLASIAS DA VESÍCULA BILIAR / diagnósticoCOLEDOCOLÍTASECOLESTASECOLANGIOGRAFIASÍNDROME DE MIRIZZIRELATOS DE CASOSLITERATURA DE REVISÃO COMO ASSUNTO.Aims: This case report aims to describe an unusual presentation of gallbladder cancer, masked by Mirizzi Syndrome. Case description: a woman complained of nausea, dark urine and acholic stools started two months earlier, and jaundice started later. An abdominal ultrasound showed dilatation of the bile duct with choledocholithiasis and cholelithiasis. A cholangiopancreatography showed obstruction in the middle third of the common bile duct, without visualization of gallstones. The initial diagnosis was Mirizzi Syndrome. A stent was inserted in the main bile duct, to plan surgery. During surgery macroscopic lesions were found in gallbladder and peritoneum, which indicated interruption of the surgery and sample collection for biopsy. Pathological examination revealed adenocarcinoma. The patient was discharged with oncological follow-up plan and chemotherapy. Conclusions: The coexistence of Mirizzi Syndrome with carcinoma of the gallbladder is extremely rare, because both diseases are uncommon. Anatomopathological examination of all surgical specimens is always imperative for the definitive diagnosis of gallbladder tumor.Objetivos: este relato de caso visa descrever uma forma pouco comum de apresentação de câncer de vesícula biliar, mascarado pela Síndrome de Mirizzi. Descrição do caso: uma mulher consultou por náuseas, acolia e colúria, que haviam iniciado dois meses antes, e icterícia, de início recente. A ecografia abdominal evidenciou dilatação da via biliar com coledocolitíase e colelitíase. Uma colangiopancreatografia endoscópica retrógrada mostrou obstrução no terço médio do ducto hepático comum, não sendo visualizado cálculo. A suspeita diagnóstica inicial foi de Síndrome de Mirizzi. Foi inserida uma endoprótese na via biliar principal, com plano de cirurgia. Durante o procedimento cirúrgico foram encontradas lesões macroscópicas em peritônio e vesícula biliar, que indicaram interrupção da cirurgia e coleta de material para biópsia. O exame anatomopatológico evidenciou adenocarcinoma. A paciente teve alta hospitalar com acompanhamento oncológico e plano de quimioterapia. Conclusões: a concomitância da Síndrome de Mirizzi com carcinoma de vesícula é extremante rara, pois são doenças pouco frequentes. Para o diagnóstico definitivo do tumor de vesícula biliar é sempre imperativo o estudo anatomopatológico de todas as peças cirúrgicas.Editora da PUCRS - ediPUCRS2011-09-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de caso raro ou de especial interesseapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/8715Scientia Medica; Vol. 21 No. 3 (2011); 117-120Scientia Medica; v. 21 n. 3 (2011); 117-1201980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/8715/6720https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8715/6721Kupske, AbraãoKupski, CarlosKupske, Raquelinfo:eu-repo/semantics/openAccess2013-07-16T11:57:51Zoai:ojs.revistaseletronicas.pucrs.br:article/8715Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-16T11:57:51Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]
Carcinoma de vesícula biliar mascarado por Síndrome de Mirizzi: relato de caso e revisão da literatura
title Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]
spellingShingle Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]
Kupske, Abraão
GALLBLADDER / surgery
CHOLANGIOCARCINOMA
GALLBRADDER NEOPLASMS / diagnosis
CHOLEDOCHOLITHIASIS
CHOLESTASIS
CHOLANGIOGRAPHY
MIRIZZI SYNDROME
CASE REPORTS
REVIEW LITERATURE AS TOPIC.
VESÍCULA BILIAR / cirurgia
COLANGIOCARCINOMA
NEOPLASIAS DA VESÍCULA BILIAR / diagnóstico
COLEDOCOLÍTASE
COLESTASE
COLANGIOGRAFIA
SÍNDROME DE MIRIZZI
RELATOS DE CASOS
LITERATURA DE REVISÃO COMO ASSUNTO.
title_short Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]
title_full Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]
title_fullStr Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]
title_full_unstemmed Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]
title_sort Carcinoma of the gallbladder masked by Mirizzi Syndrome: case report and literature review [Abstract in English]
author Kupske, Abraão
author_facet Kupske, Abraão
Kupski, Carlos
Kupske, Raquel
author_role author
author2 Kupski, Carlos
Kupske, Raquel
author2_role author
author
dc.contributor.author.fl_str_mv Kupske, Abraão
Kupski, Carlos
Kupske, Raquel
dc.subject.por.fl_str_mv GALLBLADDER / surgery
CHOLANGIOCARCINOMA
GALLBRADDER NEOPLASMS / diagnosis
CHOLEDOCHOLITHIASIS
CHOLESTASIS
CHOLANGIOGRAPHY
MIRIZZI SYNDROME
CASE REPORTS
REVIEW LITERATURE AS TOPIC.
VESÍCULA BILIAR / cirurgia
COLANGIOCARCINOMA
NEOPLASIAS DA VESÍCULA BILIAR / diagnóstico
COLEDOCOLÍTASE
COLESTASE
COLANGIOGRAFIA
SÍNDROME DE MIRIZZI
RELATOS DE CASOS
LITERATURA DE REVISÃO COMO ASSUNTO.
topic GALLBLADDER / surgery
CHOLANGIOCARCINOMA
GALLBRADDER NEOPLASMS / diagnosis
CHOLEDOCHOLITHIASIS
CHOLESTASIS
CHOLANGIOGRAPHY
MIRIZZI SYNDROME
CASE REPORTS
REVIEW LITERATURE AS TOPIC.
VESÍCULA BILIAR / cirurgia
COLANGIOCARCINOMA
NEOPLASIAS DA VESÍCULA BILIAR / diagnóstico
COLEDOCOLÍTASE
COLESTASE
COLANGIOGRAFIA
SÍNDROME DE MIRIZZI
RELATOS DE CASOS
LITERATURA DE REVISÃO COMO ASSUNTO.
description Aims: This case report aims to describe an unusual presentation of gallbladder cancer, masked by Mirizzi Syndrome. Case description: a woman complained of nausea, dark urine and acholic stools started two months earlier, and jaundice started later. An abdominal ultrasound showed dilatation of the bile duct with choledocholithiasis and cholelithiasis. A cholangiopancreatography showed obstruction in the middle third of the common bile duct, without visualization of gallstones. The initial diagnosis was Mirizzi Syndrome. A stent was inserted in the main bile duct, to plan surgery. During surgery macroscopic lesions were found in gallbladder and peritoneum, which indicated interruption of the surgery and sample collection for biopsy. Pathological examination revealed adenocarcinoma. The patient was discharged with oncological follow-up plan and chemotherapy. Conclusions: The coexistence of Mirizzi Syndrome with carcinoma of the gallbladder is extremely rare, because both diseases are uncommon. Anatomopathological examination of all surgical specimens is always imperative for the definitive diagnosis of gallbladder tumor.
publishDate 2011
dc.date.none.fl_str_mv 2011-09-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de caso raro ou de especial interesse
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8715
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8715
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8715/6720
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/8715/6721
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 21 No. 3 (2011); 117-120
Scientia Medica; v. 21 n. 3 (2011); 117-120
1980-6108
1806-5562
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
_version_ 1809101749532753920

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