Anatomic-radiologic confrontation in a case of peritoneal carcinomatosis caused by gallbladder adenocarcinoma

case report with autopsy

Authors

  • Ricardo Dutra Sugahara
  • Tiago Porto Di Nucci
  • Magda Maya Atala
  • Sandra Aparecida Ferreira Silveira
  • Maria Aparecida Barone Teixeira
  • Sílvio Santos Carvalhal

Keywords:

abdominal computed tomography, gallbladder adenocarcinoma, peritoneal carcinomatosis

Abstract

This work relates a case report demonstrating a male patient Who underwent a cholecystectomy three years ago, presented abdominal pain and ascites, intercalated with periods of diarrhea, and died with an important degree of cachexia. Radiologic study with Computed Tomography showed oment-cake image suggesting neoplasm invasiveness in peritoneum; autopsy using abdominal topographic incisions dentonstrated hontogeneous invasion of peritoneun and microscopic study showed gallbladder adenocarcinoma, fact confirmed by anatomic pathologic study. It was concluded that Computed Tomography, when well indicated and interpreted, is very important to patient's diagnosis and prognosis, and autopsy still remains the best method to check complementary study.

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References

JAMES, P. et al. Evoluation of computed tomography in patiens with peritoneal carcinomatosis. Cancer, Philadelphia, v. 72, n.5, p. 1631-6, 1993.

KUMAR, A., AGGARWAL, S. Carcinoma of tine gallbladder: Ct findings in 50 cases. Abdontinal hnaging, New Delhi, v. 19, n.4, p.304-308, 1994.

NELSON, R.C. et al. Peritoneal carcinomatois:preoperative CT with intraperitoneal contrastmaterial. Radiology, Easton, v. 182, n. 1, p. 133-138, 1992.

SAITTA, E. et al. Considerazioni sulla diagnostica del carcinoma della colecisti. Minerva Chic Turin, v.47, n.8, p.693-5, 1992.

TZU-CHIEH, W.C. et al. Primaty Carcinoma of the gallbladder in Taiwan. J Surg Oncol, New York, v.61, n.1, p.49-55, 1996.

WALKEY, M.M. et al. CT manifestations of peritoneal carcinomatosis. Am J Radiology, Hudson, v. 150, n.5, p. 1035-1041, 1988.

Published

1998-04-30

How to Cite

Sugahara, R. D., Nucci, T. P. D., Atala, M. M., Silveira, S. A. F., Teixeira, M. A. B., & Carvalhal, S. S. (1998). Anatomic-radiologic confrontation in a case of peritoneal carcinomatosis caused by gallbladder adenocarcinoma: case report with autopsy. Revista De Ciências Médicas, 7(1). Retrieved from https://seer.sis.puc-campinas.edu.br/cienciasmedicas/article/view/1374

Issue

Section

Anátomo-Clínica