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Inicio Cirugía Española (English Edition) Peritoneal Carcinomatosis and Courvoisier Gallbladder
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Vol. 94. Núm. 3.
Páginas 179 (marzo 2016)
Vol. 94. Núm. 3.
Páginas 179 (marzo 2016)
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Peritoneal Carcinomatosis and Courvoisier Gallbladder
Carcinomatosis peritoneal y vesícula de Courvoisier
Visitas
1839
Ismael Mora-Guzmána,
Autor para correspondencia
moraguzman.dr@gmail.com

Corresponding author.
, José Luis Muñoz de Novaa, Paloma Largo Floresb, Jesús Delgado Valduezaa
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, Madrid, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario de La Princesa, Madrid, Spain
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A 72-year-old female patient who had undergone total gastrectomy 78 months earlier due to gastric adenocarcinoma T2N2M0 came to the emergency room with symptoms of pain in the right hypochondrium, nausea and decreased bowel transit. Upon examination, she presented a distended abdomen with multiple masses, especially a palpable, although not painful, gallbladder with notable cholestasis.

A computed tomography scan showed peritoneal carcinomatosis with an implant at the angle of Treitz (Fig. 1A), which caused retrograde dilatation of the duodenum, main pancreatic duct, bile duct and gallbladder (Courvoisier sign) (Fig. 1B). Given these findings, it was decided to initiate palliative symptomatic treatment.

Fig. 1
(0.19MB).

Please cite this article as: Mora-Guzmán I, Muñoz de Nova JL, Largo Flores P, Delgado Valdueza J. Carcinomatosis peritoneal y vesícula de Courvoisier. Cir Esp. 2016;94:179.

Copyright © 2015. AEC
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