RESUMO
Intussusception in adults is rare. The clinical picture of intussusception in adults is subtle and the diagnosis is, therefore, elusive. The presence of a structural abnormality in the great majority of the adult cases mandates high clinical suspicion. Gastrointestinal lipomas are rare benign tumors and intussusception due to a gastrointestinal lipoma constitutes an infrequent clinical entity. The present report describes a case of jejunojejunal intussusception in an adult with a history of severe episodes of hematochezia and colicky upper abdominal pain. The diagnosis was suspected preoperatively but computed tomography scan could not rule out malignancy. Exploratory laparotomy revealed jejunojejunal intussusception secondary to a lipoma which was successfully treated with segmental intestinal resection.
Assuntos
Intussuscepção/etiologia , Doenças do Jejuno/etiologia , Neoplasias do Jejuno/complicações , Lipoma/complicações , Dor Abdominal/etiologia , Procedimentos Cirúrgicos do Sistema Digestório , Hemorragia Gastrointestinal/etiologia , Humanos , Intussuscepção/cirurgia , Doenças do Jejuno/cirurgia , Neoplasias do Jejuno/cirurgia , Lipoma/cirurgia , Masculino , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
Tumors arising in the spermatic cord are uncommon and form a heterogeneous group of neoplasms. A variety of both benign and malignant lesions have been demonstrated. Benign tumors represent 80% of the total, but unfortunately clinical and sonographic features are not specific and they cannot safely differentiate a teratomatous or a malignant neoplasm from benign tumors. We report a case of a huge epidermoid cyst of the spermatic cord in an adult patient confirmed after local excision. The etiology, differential diagnosis, and management alternatives are discussed.
Assuntos
Cisto Epidérmico/diagnóstico , Neoplasias dos Genitais Masculinos/diagnóstico , Cordão Espermático , Diagnóstico Diferencial , Cisto Epidérmico/cirurgia , Seguimentos , Neoplasias dos Genitais Masculinos/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Cordão Espermático/diagnóstico por imagem , Cordão Espermático/patologia , Ultrassonografia , Procedimentos Cirúrgicos Urogenitais/métodosRESUMO
Acute pretreatment tumor lysis syndrome is a rare complication of cancer. Early recognition and aggressive management are mandatory for prevention of the adverse sequelae of the syndrome. Here we present 2 cases of pretreatment tumor lysis syndrome, concluding that this clinical entity should be in the differential diagnosis of acute renal failure associated with malignancy, as early recognition is in fact the mainstay of treatment.
