RESUMO
A 51-year-old male patient with no history of medical illnesses presented to the emergency department with abdominal pain and a temperature of 39 degrees Celsius. His condition deteriorated rapidly within a few hours. Clear signs of acute abdomen, raised white blood cell count and small gas-fluid levels on abdominal X ray prompted an urgent CT scan of the abdomen. The latter revealed a space occupying lesion arising from the central mesentery containing gas-fluid levels measuring approximately 9 x 9 cm. An urgent exploratory laparotomy was performed. This revealed a mesenteric mass measuring 10 x 10 cm with an abscess. Anatomopathologic investigations showed a mesenteric desmoid tumor. Both colonoscopy and gastroscopy were within normal range ruling out Gardner's syndrome with no polyps or other lesions. The patient made full recovery with radical surgery. This is to our knowledge the fifth case of a desmoid tumor presenting with abdominal abscess not associated with familial adenomatous polyposis. We therefore believe this is an important finding to report.
Assuntos
Fibromatose Agressiva , Mesentério , Neoplasias Peritoneais , Fibromatose Agressiva/diagnóstico , Fibromatose Agressiva/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Peritoneais/diagnóstico , Neoplasias Peritoneais/cirurgiaRESUMO
Accessory spleens are frequent entities, but their infarction due to arterial stasis caused by segmental portal hypertension is extremely rare. We present this case of a 38-year-old female patient with a three-week history of abdominal pain and an abdominal CT scan revealing a 7 cm mass near the spleen and tail of pancreas with segmental portal hypertension. The patient had no hematologic disease. This mass was surgically resected, with a pathological diagnosis of an infarcted accessory spleen.
Assuntos
Hipertensão Portal/complicações , Baço/anormalidades , Infarto do Baço/etiologia , Dor Abdominal/etiologia , Adulto , Feminino , Humanos , Baço/cirurgia , Infarto do Baço/diagnóstico , Infarto do Baço/cirurgia , Trombose Venosa/diagnósticoRESUMO
In this report the authors describe the imaging features of subacute and chronic radiation enteritis in two patients. Although surgery remains the definitive treatment of complicated chronic radiation enteritis, the potential role of interventional techniques that can be used for management of poor surgical candidates is discussed.
