ABSTRACT
Primary adenocarcinoma of the appendix is an uncommon disease frequently diagnosed surgery. It has an occurrence between 0.01 and 0.11% of all appendectomized patients, and it is more often found in patients older than fifty years. Symptoms are usually similar to those seen in acute appendicitis. Some authors consider the mucocele of the appendix a primary carcinoma as it is related with obstruction of the appendix lumen followed by a cystic dilatation with mucosal changes, mucus hypersecretion and extension outside of the appendix. We present one case with abdominal pain, constipation, weight loss of 26 kg, and a mass localized in the right lower quadrant. An exploratory surgery showed a partially retroperitoneal mass of 15 by 20 cm, irregular, cystic, with mucus content and the appendix included in it. The mass was removed and appendectomy was performed. Postoperatively the patient did well. The final pathologic report was a cystadenocarcinoma of the appendix.
Subject(s)
Appendiceal Neoplasms/diagnosis , Cystadenocarcinoma/diagnosis , Aged , Appendiceal Neoplasms/pathology , Appendiceal Neoplasms/surgery , Appendicitis/diagnosis , Cystadenocarcinoma/pathology , Cystadenocarcinoma/surgery , Diagnosis, Differential , Humans , Male , Neoplasm Invasiveness , Retroperitoneal Neoplasms/pathologyABSTRACT
Six cases of biliary ascariasis were treated at Dr. Manuel Gea González General Hospital in the last sixteen years. The patient population consisted of five female and one male subjects. With a median age of 39 years. Main clinical manifestations were abdominal pain mimicking biliary colic, nausea, vomiting and jaundice. Diagnosis was established during surgery in four patients and by means of abdominal sonogram and endoscopic retrograde cholangiopancreatogram in two cases. Cholecystitis diagnosis was considered preoperatively in three patients and cholangitis in another one. Five patients were operated on and in one case the worm was successfully removed with the endoscope. Only one patient was complicated with biliary peritonitis, hepatic abscess and reinfestation. No deaths occurred. Mexican literature published in the lasts 25 years is reviewed and the current state in diagnosis and treatment concerning this entity is discussed in this paper.
Subject(s)
Ascariasis/surgery , Biliary Tract Diseases/parasitology , Biliary Tract Diseases/surgery , Adult , Ascariasis/diagnosis , Biliary Tract Diseases/diagnosis , Female , Hospitals , Humans , Male , Mexico , Middle Aged , Retrospective StudiesABSTRACT
Fournier gangrene is a disease which primarily affects adults. This finding makes it rarely seen within the pediatric population. Therefore, we feel it convenient to inform of a case of Fournier gangrene which occurred in an eight day old neonate, successfully treated with surgical debridement, the administering of solutions and antibiotics. This is the youngest patient ever described in the medical literature. Neonate; Fournier; gangrene.
Subject(s)
Fasciitis/pathology , Scrotum , Gangrene , Groin , Humans , Infant, Newborn , MaleABSTRACT
This is a case report of an ileosigmoid volvulus in a 68 year old man. The patient had emergency surgery for an acute abdominal condition. Intraoperative diagnosis of an ileosigmoid knot was made and it was necessary to resect the necrotic portion of the ilium, with ilioiliostomy, and to resect the gangrenous section of the sigmoid colon, end colostomy, and Hartmann pouch. Eleven weeks later, a colosigmoidostomy was realized. The evolution of the patient was satisfactory. The literature about ileosigmoid volvulus is reviewed.
