ABSTRACT
We report two cases of one of the most infrequent types of internal abdominal hernias, i.e. incarcerated herniation through the Foramen of Winslow, with emphasis on appropriate preoperative radiological diagnosis using multidetector row computed tomography (MDCT) in both cases, and their successful surgical treatment.
Subject(s)
Hernia/diagnostic imaging , Herniorrhaphy , Intestinal Diseases/surgery , Aged , Cecal Diseases/diagnostic imaging , Cecal Diseases/surgery , Colonic Diseases/diagnostic imaging , Colonic Diseases/surgery , Female , Humans , Ileal Diseases/diagnostic imaging , Ileal Diseases/surgery , Intestinal Diseases/diagnostic imaging , Male , Middle Aged , Multidetector Computed TomographyABSTRACT
Mujer de 26 años con un voluminoso feocromocitoma suprarrenal izquierdo que presentaba invasión endovascular de la vena renal izquierda y cava inferior hasta la aurícula derecha. Fue intervenida en dos tiempos: primero, laparotomía y resección en bloque del tumor, riñón y vena renal izquierda; segundo, endoflebectomía de la vena cava bajo derivación cardiopulmonar. A los 8 años de estas intervenciones, no hay evidencia alguna de recidiva. En la revisión de la bibliografía sólo hemos encontrado otros 3 casos de resección de feocromocitomas con invasión endovascular hasta la aurícula (AU)
Subject(s)
Adult , Female , Humans , Pheochromocytoma/surgery , Pheochromocytoma/diagnosis , Pheochromocytoma/complications , Pheochromocytoma/etiology , Recurrence , Medical History Taking/methods , Tomography, Emission-Computed/methods , Tomography, Emission-Computed , Necrosis , Vena Cava, Inferior/surgery , Vena Cava, Inferior/pathology , Vena Cava, Inferior , Vena Cava, Inferior , Calcinosis/complications , Calcinosis/diagnosis , Calcinosis/etiology , Angiography , Carcinoma/surgery , Carcinoma/complications , Carcinoma/diagnosis , Carcinoma/pathology , Laparotomy/methods , Laparotomy , Chromaffin Cells/pathology , Chromaffin Cells/ultrastructure , Adrenal Gland Neoplasms/surgery , Adrenal Gland Neoplasms/diagnosis , Adrenal Gland Neoplasms/pathology , Magnetic Resonance Spectroscopy/methods , Magnetic Resonance Spectroscopy , Androgens/analysis , Hydrocortisone/analysis , Retroperitoneal Fibrosis/surgery , Retroperitoneal Fibrosis/complications , Retroperitoneal Fibrosis/diagnosis , Photomicrography/methods , Photomicrography , Adrenal Glands/surgery , Adrenal Glands/pathology , Superior Vena Cava Syndrome/surgery , Superior Vena Cava Syndrome/complications , Superior Vena Cava Syndrome/diagnosis , Adrenocorticotropic Hormone/analysis , Neoplasm Metastasis/physiopathology , Neoplasm MetastasisABSTRACT
We present two patients with mucinous cystadenoma and mucinous cystadenocarcinoma of the appendix, respectively. These are very uncommon lesions in that localization. We point out the lack of specificity of the term "mucocele" and also the need of strict criteria to define this type of lesions in order to establish the adequate treatment. Usually the diagnosis is not possible before surgery. The treatment consists of simple appendectomy for the benign lesions and right hemicolectomy for mucinous carcinoma.
Subject(s)
Appendiceal Neoplasms/pathology , Cystadenocarcinoma/pathology , Cystadenoma/pathology , Adult , Aged , Female , HumansABSTRACT
A case is presented of cecal appendicular diverticulum in a 52 year-old male, initially diagnosed as acute appendicitis. We emphasize the rarity or this pathology, its clinical presentation simulating a picture of acute appendicitis and its cure by appendectomy, as well as the diagnosis by pathologic study in most cases.
Subject(s)
Appendix , Diverticulum/diagnosis , Cecal Diseases/diagnosis , Cecal Diseases/surgery , Diagnosis, Differential , Diverticulum/surgery , Humans , Male , Middle AgedABSTRACT
An exceptional case is presented of double biliary fistula, internal (to duodenum) and external (to the abdominal wall) in a patient with cholelithiasis of long evolution. The diagnosis of suspicion was made by CAT and was confirmed in the surgical act. Treatment was cholecystectomy, closure of the duodenal communication and external drainage of the parietal abscess. The postoperative evolution coursed without complications.
