RESUMEN
Retroperitoneal presacral schwannomas are uncommon and are usually diagnosed accidentally. We present here the case of a 23-year-old woman diagnosed with an expansive pelvic lesion during a routine gynecological examination. The precise location of the tumor, as well as its relation to adjacent structures, was determined through magnetic resonance imaging (MRI). The patient underwent laparoscopic lesion resection and the diagnosis was confirmed by immunohistochemistry. An MRI performed 2 months after surgery confirmed complete lesion resection.
Asunto(s)
Humanos , Femenino , Adulto , Espacio Retroperitoneal/anomalías , Región Sacrococcígea/anomalías , Neurilemoma/cirugía , Neurilemoma/diagnóstico por imagen , Espectroscopía de Resonancia Magnética/métodos , Laparoscopía/métodos , Examen Ginecologíco/métodosRESUMEN
A huge retroperitoneal malignant fibrohistiocytoma myxoid type, 10.5 kg of weight, with anatomic involvement of left kidney but without metastasis is reported. It is reported because of its size. This 54-yearold patient lived in Austria, and his chief complaint was abdominal obesity that has been resistant to diet therapy. The patient underwent a successful laparatomy and was referred to an oncologist for further follow up
Asunto(s)
Humanos , Masculino , Fibroma , Laparotomía , Espacio Retroperitoneal/anomalías , Liposarcoma MixoideRESUMEN
Infradiaphragmatic extralobar pulmonary sequestration is an extremely rare congenital malformation. It is more frequently diagnosed in the antenatal period due to routine ultrasonic examination of the fetus or in the first 6 months of life, though on rare occasions it is discovered incidentally in adults. A 32-yr-old man presenting with epigastric discomfort and fever was referred. Computed tomographic scanning showed that a 16-cm, multiseptated, dumbbell-shaped, huge cystic tumor was located beneath the diaphragm. On the next day, 850 mL of thick yellowish pus was drained by sonography-guided fine needle aspiration for the purpose of infection control and diagnosis, but no microscopic organisms were found in repeated culture studies. Surgical removal of the cyst was performed through thoracoabdominal incision and most of these pathologic lesions were removed but we could not find the feeding arteries or any fistulous tract to surrounding structures. Histopathologic study revealed that it was extralobar pulmonary sequestration and culture study showed that many WBC and necrotic materials were found but there were no microorganisms in the cystic contents. We report the first case of an infected infradiaphragmatic retroperitoneal extralobar sequestration which was administered a staged management and achieved an excellent clinical course.
Asunto(s)
Adulto , Humanos , Masculino , Secuestro Broncopulmonar/complicaciones , Diafragma/anomalías , Infecciones/complicaciones , Espacio Retroperitoneal/anomalíasRESUMEN
Los traumatismos retroperitoneales son para el cirujano una entidad de gran importancia aunque su diagnóstico y tratamiento oportuno no se realicen con facilidad. No hay signos o síntomas que permitan asegurar la existencia de lesión en órganos retroperitoneales, pero el uso de técnicas diagnósticas en ciertos casos conducen a la pronta consecución de un diagnóstico adecuado, mejorando así el pronóstico de estos pacientes. Los hematomas retroperitoneales se clasifican en centrales, de los flancos, pélvicos y combinados; cada uno de ellos, de acuerdo a sus características, presenta un tratamiento y pronóstico diferente. En cuanto a las heridas penetrantes posteriores, un correcto examen clínico es la clave del enfoque terapéutico