ABSTRACT
We report a case of a 28-year-old female, Grava 2, Para I, Ab. 0, who presented acute abdominal pain on the 21st week of her gestation. A diagnosis of acute appendicitis was entertained and an appendectomy performed. The pathologic specimen revealed an inflamed appendix with endometriosis and a marked decidual reaction. A decidual polyp, which occluded most of the appendiceal lumen, is proposed as a rare cause of acute appendicitis during pregnancy
Subject(s)
Adult , Female , Humans , Pregnancy , Abdomen, Acute/etiology , Appendicitis/etiology , Decidua , Cecal Diseases/complications , Endometriosis/complications , Appendix/pathology , Appendectomy , Appendicitis/diagnosis , Appendicitis/pathology , Appendicitis/surgery , Cell Differentiation , Pregnancy Complications/diagnosis , Pregnancy Complications/surgery , Cecal Diseases/diagnosis , Cecal Diseases/pathology , Cecal Diseases/surgery , Endometriosis/diagnosis , Endometriosis/pathology , Endometriosis/surgeryABSTRACT
Paratesticular tumors are uncommon tumors, most being found incidentally at autopsy. The most common benign paratesticular tumor is the adenomatoid tumor. A somewhat less frequent benign paratesticular tumor, papillary cystadenoma, accounts for approximately 33 percent of all the primary epididymal tumors and is frequently seen in patients with Von Hippel-Lindau disease. Malignant tumors are rare. Of these, rhabdomyosarcoma is the most frequent. Seen almost exclusively in the pediatric population, paratesticular rhabdomyosarcomas account for 7 percent of childhood rhabdomyosarcomas. We describe two cases of paratesticular tumors in adults: a papillary cystadenoma of the epididymis in a 72-year old male, and an incidental rhabdomyosarcoma in a 49-year old male