Endoscopy 2021; 53(S 01): S226-S227
DOI: 10.1055/s-0041-1724889
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Double Trouble: Two Large Synchronous Retroperitoneal Lesions

A Martins Pinto da Costa
1   Hospital Universitario Puerta de Hierro Majadahonda, Gastroenterology, Madrid, Spain
,
M Gonzalez Haba Ruiz
1   Hospital Universitario Puerta de Hierro Majadahonda, Gastroenterology, Madrid, Spain
,
I Kaibel Axpe
2   Hospital La Luz, Surgery, Madrid, Spain
,
J Martin Lopez
3   Hospital Universitario Puerta de Hierro Majadahonda, Pathology, Madrid, Spain
,
B Tormo Lanseros
1   Hospital Universitario Puerta de Hierro Majadahonda, Gastroenterology, Madrid, Spain
,
JL Calleja Panero
1   Hospital Universitario Puerta de Hierro Majadahonda, Gastroenterology, Madrid, Spain
› Author Affiliations
 

A 73-year-old female was admitted for jaundice.

Lab workout showed Bil 7.7 mg/dl, GGT 198 U/L and negative tumor markers. CT scan showed biliary obstruction caused by an atypical large (85mm) lesion located in the pancreatoduodenal groove, and a second smaller lesion adjacent to the pancreatic tail.

EUS FNB was consistent with GIST on both lesions. Subsequent ERCP was uneventfully performed. Patient underwent upfront surgery (duodenopancreatectomy + resection of pancreatic tail lesion) with a final pathologic diagnosis of a GIST with peritoneal metastasis (smaller lesion), therefore a T3N0M1 stage (AJCC 8th edition).

Citation Martins Pinto da Costa A, Gonzalez Haba Ruiz M, Kaibel Axpe I et al. eP398V DOUBLE TROUBLE: TWO LARGE SYNCHRONOUS RETROPERITONEAL LESIONS. Endoscopy 2021; 53: S226.



Publication History

Article published online:
19 March 2021

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