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Revista Cubana de Medicina

versión On-line ISSN 1561-302X


SANTIAGO PEREZ, Juana T.; RIVERA VALDESPINO, Amparo de la C.; GIL VALDES, Doris  y  RODRIGUEZ SANTIAGO, José. Tumor maligno de la vaina nerviosa periférica del epiplón mayor como causa de abdomen agudo quirúrgico. Rev cubana med [online]. 2002, vol.41, n.2, pp. 126-129. ISSN 1561-302X.

A black female patient aged 57 with past history is seen at the Emergency Department of "Dr. Salvador Allende" Clinical and Surgical Teaching Hospital due to a clinical picture of acute abdomen. The patient referred to a volume increase of the upper abdomen of a month of evolution that was asymptomatic until a few days before her admission in this center. It was accompanied of a moderate pain, which got stronger later on. Vomits and obstruction of the contents of the intestine appeared (no expulsion of faeces or gases). She denied having other symptoms. An abdominal tumor that occupied the epigastrium, both hypochondria and the left flank, respectively, of firm consistency and with remittent areas, was found on the physical examination. The preoperative diagnosis was a mechanical intestinal obstruction, probably of tumoral origin. In the laparotomy, it was observed a giant tumor with cystic and solid areas that occupied the spaces referred to on the physical examination, with some 1 500 mL of free blood in cavity, from the above mentioned cystic areas. It was possible to perform exeresis of this tumor, which was histologically reported as a malignant tumor of the perypheral nerve sheath of the greater omentum.

Palabras clave : NERVE SHEATH TUMORS [surgery]; NERVE SHEATH TUMORS [drug therapy]; OMENTUM [surgery]; ABDOMEN, ACUTE [complications].

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