scholarly journals ‘Away from home’ extra hepatic hepatocellular adenocarcinoma in gastric fundal submucosa

2021 ◽  
Vol 8 (9) ◽  
pp. 2783
Author(s):  
Mohd Helmi Mohd Samathani ◽  
Azuddin Bin Mohd Khairy
Keyword(s):  
Gastrointestinal Bleeding ◽  
Liver Tissue ◽  
Upper Gastrointestinal Bleeding ◽  
Wedge Resection ◽  
Gastric Wall ◽  
Liver Pathology ◽  
Hepatoid Adenocarcinoma ◽  
Postoperative Diagnosis ◽  
Ectopic Liver ◽  
Upper Gastrointestinal

Patient presented with upper gastrointestinal bleeding which was scoped and diagnosed as bleeding gastrointestinal tumour intra procedure, subjected to laparotomy and wedge resection with unchanged postoperative diagnosis. Only later to find out the tissue was interpreted as metastases hepatoid adenocarcinoma without primary liver pathology. Thus likely point towards malignancy changes of undiagnosed ectopic liver tissue on gastric wall.

scholarly journals Dieulafoy’s lesion: Rare cause of massive upper gastrointestinal bleeding

2007 ◽  
Vol 54 (1) ◽  
pp. 125-129 ◽  
Author(s):  
D. Stojakov ◽  
D. Velickovic ◽  
P. Sabljak ◽  
M. Bjelovic ◽  
K. Ebrahimi ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Wedge Resection ◽  
Duodenal Bulb ◽  
Massive Bleeding ◽  
Injection Sclerotherapy ◽  
Entire Area ◽  
Endoscopic Techniques ◽  
Detection And Identification ◽  
Upper Gastrointestinal

Dieulafoy?s lesion is an unusual and potentially lifethreatening cause of massive, recurrent gastrointestinal bleeding. Its reported incidence as a source of upper gastrointestinal bleeding ranges from 0,3-6,7%. Dieulafoy?s lesion is most commonly located in the proximal stomach (75% of cases). Lesion typically occur within 6 to 10 cm of the esophagogastric junction, generally along the lesser curvature of the stomach. Similar lesions have been identified in the esophagus, duodenal bulb, jejunum, ileum, colorectum, anal canal, even in bronchus. Detection and identification of the Dieulafoy?s lesion as the source of bleeding can often be difficult, especially because most present with massive bleeding. Because of intermittent nature of bleeding, initial endoscopy is diagnostic in 60% of the cases, so repeated endoscopies are often necessary. If the lesion can be endoscopically documented, attempts should be made to achieve hemostasis using one or a combination of several endoscopic modalities. Success has been reported with multipolar electrocoagulation, heater probe, noncontact laser photocoagulation, injection sclerotherapy, endoscopic hemoclipping and band ligation. Surgery is reserved for lesions that cannot be controlled by endoscopic techniques. When localized, a wide wedge resection of entire area traversed by the large submucosal artery is recommended because rebleeding has been described after simple coagulation and ligation.

Upper gastrointestinal bleeding in patients with liver cirrhosis

2011 ◽  
Vol 49 (05) ◽  
Author(s):  
E Schafer ◽  
K Rusznyák ◽  
Z Visnyei ◽  
K Dunkel ◽  
B Tolmácsi ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Upper Gastrointestinal

Management of upper gastrointestinal bleeding - Is there a “weekend or night” effect?

2013 ◽  
Vol 51 (05) ◽  
Author(s):  
E Schafer ◽  
T Szamosi ◽  
K Rusznyák ◽  
M Varsányi ◽  
F Zsigmond ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Upper Gastrointestinal
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