RESUMO
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
Assuntos
Adulto , Feminino , Humanos , Gravidez , Abdome Agudo/etiologia , Apendicite/etiologia , Decídua , Doenças do Ceco/complicações , Endometriose/complicações , Apêndice/patologia , Apendicectomia , Apendicite/diagnóstico , Apendicite/patologia , Apendicite/cirurgia , Diferenciação Celular , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/cirurgia , Doenças do Ceco/diagnóstico , Doenças do Ceco/patologia , Doenças do Ceco/cirurgia , Endometriose/diagnóstico , Endometriose/patologia , Endometriose/cirurgiaRESUMO
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