RESUMO
A 12-year-old girl presented with a "threadlike fiber" in her underwear associated with lower abdominal pain. She denied insertion of any foreign body, and at examination under anesthetic, a threadlike substance was seen exiting her external cervical os. Her only medical history was of an open appendicectomy for perforated appendicitis. Subsequent pathologic examination showed a collapsed mesothelial cyst, and laparoscopy showed a cyst and inflammatory changes consistent with previous appendicectomy surrounding her right ovary. We review the possible causes for this most unusual presentation.
Assuntos
Cistos/diagnóstico , Epitélio/patologia , Doenças dos Genitais Femininos/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Dor Abdominal/etiologia , Apendicectomia , Ligamento Largo/embriologia , Criança , Cistos/complicações , Cistos/embriologia , Cistos/patologia , Cistos/cirurgia , Tubas Uterinas/embriologia , Feminino , Doenças dos Genitais Femininos/complicações , Doenças dos Genitais Femininos/embriologia , Doenças dos Genitais Femininos/patologia , Doenças dos Genitais Femininos/cirurgia , Humanos , Laparoscopia/efeitos adversos , Complicações Pós-Operatórias/patologia , Complicações Pós-Operatórias/cirurgia , Ruptura/etiologia , Ductos Mesonéfricos/embriologiaRESUMO
A 22-year-old man presented with a lower esophageal adenocarcinoma having been treated for a left-sided congenital diaphragmatic hernia (CDH) as a neonate. There is no known association or similar case reported in the literature. We review the known long-term sequelae of CDH, possible theories for the occurrence of adenocarcinoma, and its implications for follow-up of patients with CDH.
