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Pulmonary mucormycosis is an uncommon, difficult-to-diagnose disease with currently no suitable treatments. It is associated with hematological malignancies, diabetes, and immunosuppression. Case presentation: We report a 16-year-old boy who developed pleural mucormycosis for unknown reasons. The patient presented to our hospital because of fever, chills, weakness, lethargy, loss of appetite, pleuritic chest pain, and shortness of breath. Histopathological testing ultimately diagnosed mucormycosis. Discussion: Pulmonary mucormycosis is a potentially fatal infection with a challenging clinical presentation that requires prompt diagnosis. Diagnosis of pleural mucormycosis was verified by histopathological analysis of pleural fluid and pleural tissue biopsy. Conclusion: This study emphasizes the relevance of histological examination in detecting mucormycosis, which will aid in early management by highlighting the difficulty of diagnosis.
RESUMEN
INTRODUCTION: Meckel's diverticulum is the most common congenital malformation of the gastrointestinal tract. Axial torsion of the diverticulum followed by gangrene is the rarest complication that can occur mainly in children. CASE PRESENTATION: A 5-year-old girl complaining of vomiting, fever and abdominal pain came to hospital. In Laboratory findings, leukocytosis (WBC = 22.5 ∗ 103/µl) was observed and mild interloop fluid with a whirlpool-like structure which suggests volvulus like obstruction was seen in sonography. The patient underwent emergency laparotomy. A necrotic congested Meckel's diverticulum was found during the surgery, which was axially twisted. After the operation, the patient recovered and was discharged six days later. DISCUSSION: Axial twisting of Meckel's diverticulum is known as one of the rarest related complications, and it is caused by the rotation of the diverticulum around its axis. Among the factors that can make Meckel's diverticulum prone to twisting are its connection to the intestinal mesentery or the umbilical cord, or the presence of mesodiverticular bands. One of the appropriate diagnostic methods is the use of technetium-99. In Cases of small bowel obstruction, diverticulectomy and segmental or wedge resection have been introduced as suitable surgical methods. The delay in diagnosing a complex Meckel's diverticulum can lead to complications and mortality. CONCLUSION: Rapid management of Meckel's diverticulum, which has become challenging due to its difficult diagnosis, is very important to obtain acceptable results.
RESUMEN
INTRODUCTION: Primary retroperitoneal mucinous cystadenoma is an extremely uncommon tumor occurring mostly in females. The histogenesis of PRMC remains unclear and Open surgery is the most impressive treatment. CASE PRESENTATION: We present a 20-year-old Iranian woman with history of intermittent abdominal pain. In physical examination, her abdomen had a mildly asymmetrical distention and a round shape mass was palpated in right abdomen also she had a mild tenderness in right abdomen. Radiologic assessment revealed a right retroperitoneal smooth cystic mass (20 × 15 cm) without invasive features. The patient underwent complete surgical excision of the tumor by a laparotomic approach because of its size. The lesion was gently dissected from the contiguous organs and removed completely without spillage of its content. In microscopic investigations, sections showed a unilocular cyst with fibrous wall lined via monolayered bland looking columnar mucinous epithelium and no atypia or stromal invasion was presented. Diagnosis of a PRMC was made. The patient has discharged without any complications in 2 days' postoperative course. DISCUSSION: Generally, cysts are asymptomatic and are found fortuitously after a routine checkup assessment. Symptoms and signs related to this cyst are mainly because of their huge size and compression effect. Radiological assessments are effective in specifying the lesion preoperatively; although, the final diagnosis always needs histopathological verification. CONCLUSION: When the tumor is diagnosed, full resection should be considered because of the infectious or malignant potential of the tumor.
