ABSTRACT
Krukenberg tumor arising from an appendiceal neoplasm is rare. The 30 cases of appendiceal Krukenberg tumor have been reported since 1970 currently. The tumors can be easily overlooked because appendiceal tumors are rare and its size is very small so that they can be seen normally to the naked eye. The proper treatment of tumors which spreads from the appendix to the ovary does not exist as of yet, so the mean survival time is only 7-9 months and the prognosis is not good. Therefore, when the ovarian tumor that secrete the mucus substance is found and primary origin cannot be found, diagnostic appendectomy is recommended. Authors report a case of the 46-year-old woman who admitted with chief complaints of palpable abdominal mass which reveals Krukenberg tumor from appendix.
Subject(s)
Female , Humans , Middle Aged , Appendectomy , Appendiceal Neoplasms , Appendix , Krukenberg Tumor , Mucus , Ovary , Prognosis , Survival RateABSTRACT
The spontaneous rupture of splenic artery aneurysm during pregnancy is a rare but catastrophic event. Two thirds of all ruptures happen during the third trimester. Clinical presentation is often non-specific, with good hemodynamic compensation, followed by a rapid deterioration. Active management and operation are the most important procedures for diagnosis and therapy of the bleeding. Abdominal delivery will help to establish diagnosis and should be performed immediately. We report a case of a patient at 38 weeks of gestation suffering epigastric pain and fetal distress. At emergency cesarean delivery, an aneurysmal rupture of the splenic artery was found to be the reason for the hemoperitoneum. Spleen, aneurysm and the tail of the pancreas were removed. In spite of fatal hemorrhage, the patient survived but her fetus was dead. With a review of the literature on this topic, diagnostic aspects and treatment options are discussed.
Subject(s)
Female , Humans , Pregnancy , Aneurysm , Cesarean Section , Compensation and Redress , Diagnosis , Emergencies , Fetal Distress , Fetus , Hemodynamics , Hemoperitoneum , Hemorrhage , Pancreas , Pregnancy Trimester, Third , Rupture , Rupture, Spontaneous , Spleen , Splenic ArteryABSTRACT
The infantile polycystic kidney disease is rare fetal urinary tract anomaly. It is inherited with an autosomal recessive pattern and recurrence rate is 25%. The gene locus is on chromosome 6p. The pathogenesis of infantile polycystic kidney is the primary defect of the collecting ducts. The ultrasonographic finding of infantile polycystic kidney is oligohydramnios, bilaterally symmetrical enlarged kidneys with maintenance of their reinform shape. The differential diagnosis with adult polycystic kidney disease is important. The massive enlargement of the kidneys is rarely seen in adult polycystic kidney disease and the examination of the parents and other members of the family is helpful to confirm the adult polycystic kidney disease. If there is severe renal involvements, stillbirth or neonatal death secondary to pulmonary hypoplasia would be developed. If it were diagnosed before viability, termination of pregnancy is recommended. In a fetus at risk, diagnosed after viability, pregnancy termination is also recommended since this condition is uniformly fatal. We present a case of infantile polycystic kidney.