Abstract

BARRERA-JAY, Zulma Luisa. Abdominal tomography importance on the Leiomyosarcoma of jejunum diagnosis. Rev. inf. cient. [online]. 2020, vol.99, n.5, pp. 487-493.  Epub Oct 27, 2020. ISSN 1028-9933.

A 49-year-old patient presented to the internal medicine consultation office at the “Dr. Agostinho Neto” General teaching Hospital because of weight loss (20 pounds) and black stools in a period of 2 months before the evaluation. The physical examination revealed mild malnutrition and hypochlorous mucous membranes. The abdominal ultrasound image in the left hypochondrium showed a heterogeneous - polylobate - hypoechogenic mass measuring 68 x 61 mm with appearance of an adenomelagia. Computed tomography (CT) scan of the abdomen revealed an image with a density of 33 and 57 Hounsfield units (HU), measured 100 mm by 80 mm, polylobulated in jejunum topography, which with the contrasted study enhanced up to 67 UH with a tumor appearance. Surgical resection of the tumor with termino-terminal anastomosis was performed. Tumor biopsy diagnosed leiomyosarcoma. It was concluded that the study of the images was useful for the diagnosis of this disease.

Keywords : jejunum neoplasm/diagnosis; ultrasonography; axial computed tomography.

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