RESUMO
Solitary fibrous tumours (SFT), described for the first time by Klemperer and Rabin in 1931, are uncommon mesenchymal tumours that have been known to mainly affect the pleura and mediastinum. More recently, solitary fibrous tumours affecting other anatomical sites are being increasingly reported. Clinically, these tumours are asymptomatic and are discovered incidentally. Diagnosis is established at pathology by positive staining for CD34. Their prognosis depends on complete surgical resection and lack of histological signs of malignancy. We report here the case of a 63-year-old woman with double localisation of malignant solitary fibrous tumour who underwent complete removal of her lesions. To the best of our knowledge, this observation is the first description of a primary solitary fibrous tumour totally asymptomatic but already metastatic.
Assuntos
Neoplasias Abdominais/patologia , Neoplasias do Mediastino/patologia , Neoplasias Primárias Múltiplas/patologia , Tumores Fibrosos Solitários/patologia , Neoplasias Abdominais/cirurgia , Feminino , Humanos , Neoplasias do Mediastino/cirurgia , Pessoa de Meia-Idade , Neoplasias Primárias Múltiplas/cirurgia , Omento , Tumores Fibrosos Solitários/cirurgiaRESUMO
Splenogonodal fusion is a rare congenital abnormality. We present the case of a continuous splenogonadal fusion diagnosed in the course of a laparoscopy for left non-palpable testis in a 1-year-old boy. This case illustrates that even though testicular salvage is the recommended approach, various anatomical features might preclude conservation.
Assuntos
Criptorquidismo/cirurgia , Baço/anormalidades , Testículo/anormalidades , Constrição Patológica , Criptorquidismo/complicações , Epididimo/anormalidades , Humanos , Lactente , Laparoscopia , Masculino , Túbulos Seminíferos/patologiaAssuntos
Estenose Pilórica Hipertrófica/diagnóstico , Vômito/diagnóstico por imagem , Vômito/etiologia , Ar , Diagnóstico Diferencial , Humanos , Recém-Nascido , Hepatopatias/diagnóstico por imagem , Masculino , Veia Porta/diagnóstico por imagem , Estenose Pilórica Hipertrófica/terapia , Estômago/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Ultrassonografia , Vômito/terapiaRESUMO
Emphysematous cholecystitis is a relatively rare variant of acute cholecystitis with infection by gas-producing organisms. Diagnosis involves the demonstration of gas within the lumen or wall of the gallbladder by ultrasound or CT scan. In contrast to acute cholecystitis, emphysematous cholecystitis occurs more commonly in elderly and diabetic patients, and is frequently associated with perforation and death. We report here a case of a 75-year old man who developed emphysematous cholecystitis.
Assuntos
Colecistite/diagnóstico , Enfisema/diagnóstico , Enfisema/cirurgia , Idoso , Colecistectomia , Colecistite/cirurgia , Humanos , MasculinoRESUMO
Heterotopic pancreas is a rare developmental anomaly usually reported as an incidental finding. We describe a 1 cm diameter gallbladder heterotopic pancreas identified at pathological study. The patient, a 23-year-old woman, was suffering from cholecystitis. She underwent cholecystectomy with an uneventful course.
Assuntos
Colecistite/patologia , Colecistite/cirurgia , Coristoma , Pâncreas , Adulto , Colecistectomia , Feminino , Humanos , Resultado do TratamentoRESUMO
Mirizzi syndrome is a partial obstruction of the biliary tree caused by a stone impacted in the cystic duct, with or without development of a cholecystobiliary fistula. Clinical signs are non-specific and suggest at first an obstructive jaundice. We describe a patient with a type I Mirizzi syndrome with a cholecystocolic and a cholecysto-internal biliary fistula. The diagnosis was suggested by ultrasonography and tomodensitometry, and confirmed by endoscopic retrograde cholangiopancreatography. A partial cholecystectomy with a Roux-en-Y hepaticojejunostomy reconstruction was performed. A review of the literature covering its clinical presentation, diagnosis and surgical treatment is presented.