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Pseudomyxoma peritonei (PMP) is a rare malignant growth characterized by the production of mucin and the potential for peritoneal relapse. This study aimed to investigate the immunohistochemical and biological characteristics of mucin in patients with cellular and acellular PMP. We prospectively analyzed mucin specimens obtained from our patient cohort and described the composition and type of mucin present in each sample. A metagenomic analysis of the samples was performed to investigate the bacterial composition of the PMP microbiome. Secreted mucins 2 and 5AC and membrane-associated mucin-1 were the primary components of mucin in both cellular and acellular tumor specimens. The metagenomic study revealed a predominance of the phylum Proteobacteria and the genus Pseudomonas. Notably, Pseudomonas plecoglossicida, a species not previously reported in the human microbiome, was found to be the most abundant organism in the mucin of pseudomyxoma peritonei. Our findings suggest that the presence of MUC-2 and mucin colonization by Pseudomonas are characteristic features of both cellular and acellular disease. These results may have significant implications for the diagnosis and treatment of this rare entity.
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Lipomas in the colon usually present as sessile polypoid masses, rarely pedunculated, with variable dimensions. They are generally asymptomatic and diagnosed incidentally although occasionally they may debut with symptoms. We present the case of a 48-year-old male with intestinal obstruction secondary to colonic lipoma causing invagination at the level of the transverse colon.
RESUMO
"Bariolith" is defined as the concretion of barium sulfate in the intestine after performing a radiological study with said contrast. Complications derived from the use of barium are exceptional, but appendicitis, intussusception, volvulus, ulceration, ischemia and perforation have been described. We present the case of a 62 years old woman, who underwent a EGD exploration on the 15th of January 2021 as a part of her study for suspected GERD.
Assuntos
Apendicite , Obstrução Intestinal , Volvo Intestinal , Intussuscepção , Humanos , Feminino , Pessoa de Meia-Idade , Obstrução Intestinal/diagnóstico por imagem , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , Sulfato de Bário , Intussuscepção/complicações , Volvo Intestinal/complicaçõesAssuntos
Humanos , Feminino , Adulto , Dor Abdominal , Costelas/anormalidades , Colecistectomia LaparoscópicaRESUMO
INTRODUCTION: Paragangliomas (PG) are rare tumors derived from chromaffin cells that are located outside the adrenal gland and are capable of producing catecholamines. The treatment is based on a surgical resection, and there is controversy regarding the usefulness of previously carrying out an embolization and what is the most adequate surgical approach. CLINICAL CASE: We will present a 17-year-old woman with a retroperitoneal tumour in contact with the aorta and the inferior vena cava, treated with embolization prior to the surgical resection via laparotomy. DISCUSSION: The PG tumors are very infrequent and originate in the extra-adrenal chromaffin cells that exist in the vicinity of the components of the autonomic nervous system. Most of them (86%) produce catecholamines, are unique, sporadic, benign and more frequent in middle-aged women. Since they are radioresistant tumors, the only possibility for a cure is by a complete surgical excision. The preoperative embolization has been described mainly as the treatment of cervical PG, although its use in abdominal PG is more controversial and is not done in a systematic manner. CONCLUSION: We can conclude that the embolization of abdominal PG is not free of risks and that it has not been demonstrated that it significantly reduces the peri-operative bleeding or the surgical time. Probably, the embolization should be reserved for intensively hypervascularized and larger PGs.
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Los abscesos esplénicos son poco frecuentes pero pueden asociar una mortalidad elevada. Generalmente suceden en pacientes con una infección sistémica relacionada con algún estado de compromiso inmunitario. La clínica es inespecífica y el diagnóstico suele ser tardío, aunque el desarrollo de técnicas de imagen más avanzadas ha permitido un mejor diagnóstico de los abscesos esplénicos y isponer del drenaje percutáneo como una opción terapéutica complementaria válida y segura. Presentamos un caso de un paciente con un absceso esplénico por émbolos sépticos tras extracciones dentarias, manejado conservadoramente con antibioticoterapia y drenaje percutáneo (AU)
Splenic abscesses are rare but may be associated with high mortality. Usually they occur in patients with systemic infection related to some immunocompromised state. The symptoms are nonspecific and the diagnosis is often late, but the development of better imaging techniques has enabled better diagnosis of splenic abscess and percutaneous drainage is a valid and safe complementary treatment option. We report a case of a patient with splenic abscess secondary to septic emboli after tooth extractions, managed conservatively with antibiotics and percutaneous drainage (AU)
Assuntos
Humanos , Masculino , Idoso de 80 Anos ou mais , Abscesso/cirurgia , Esplenopatias/cirurgia , Drenagem/métodos , Extração Dentária/efeitos adversos , Tratamentos com Preservação do Órgão/métodos , Embolia/complicações , Terapia de Imunossupressão/efeitos adversosRESUMO
Splenic abscesses are rare but may be associated with high mortality. Usually they occur in patients with systemic infection related to some immunocompromised state. The symptoms are nonspecific and the diagnosis is often late, but the development of better imaging techniques has enabled better diagnosis of splenic abscess and percutaneous drainage is a valid and safe complementary treatment option. We report a case of a patient with splenic abscess secondary to septic emboli after tooth extractions, managed conservatively with antibiotics and percutaneous drainage.
Assuntos
Abscesso/tratamento farmacológico , Abscesso/etiologia , Antibacterianos/uso terapêutico , Tratamento Conservador , Embolia/tratamento farmacológico , Embolia/etiologia , Sepse/tratamento farmacológico , Sepse/etiologia , Esplenopatias/tratamento farmacológico , Esplenopatias/etiologia , Extração Dentária/efeitos adversos , Idoso de 80 Anos ou mais , Drenagem , Humanos , Masculino , Complicações Pós-Operatórias/tratamento farmacológicoAssuntos
Junção Esofagogástrica/diagnóstico por imagem , Neurofibroma/diagnóstico por imagem , Neoplasias Gástricas/diagnóstico por imagem , Endossonografia , Junção Esofagogástrica/patologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neurofibroma/patologia , Neoplasias Gástricas/patologiaRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Neurofibroma/diagnóstico , Junção Esofagogástrica/patologia , Neoplasias Esofágicas/patologia , Neurofibromatoses/complicações , Achados IncidentaisAssuntos
Dor Abdominal/etiologia , Paniculite Peritoneal/complicações , Idoso , Anti-Inflamatórios não Esteroides/uso terapêutico , Biópsia , Terapia Combinada , Humanos , Laparoscopia , Dor Lombar/etiologia , Imageamento por Ressonância Magnética , Masculino , Paniculite Peritoneal/diagnóstico , Paniculite Peritoneal/tratamento farmacológico , Paniculite Peritoneal/patologia , Paniculite Peritoneal/cirurgia , Tomografia Computadorizada por Raios XRESUMO
No disponible