RESUMEN
Malignant mesothelioma is an uncommon neoplasm that develops from serous surfaces, and rarely from the tunica vaginalis. Although atypical in any location, paratesticular presentation is exceedingly infrequent as only 0.3% to 1.4% of mesothelioma cases arise from the tunica vaginalis. Fewer than 300 cases have been reported with very few descriptions of long term follow up and multimodal therapy. Here we describe a patient with 2 years of follow up for metastatic mesothelioma treated with orchiectomy, chemotherapy and robot-assisted laparoscopic retroperitoneal lymph node dissection.
Asunto(s)
Adventicia/patología , Antineoplásicos/administración & dosificación , Neoplasias Pulmonares , Escisión del Ganglio Linfático/métodos , Mesotelioma , Orquiectomía/métodos , Procedimientos Quirúrgicos Robotizados/métodos , Hidrocele Testicular , Neoplasias Testiculares , Biopsia/métodos , Terapia Combinada/métodos , Humanos , Neoplasias Pulmonares/complicaciones , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/cirugía , Metástasis Linfática , Masculino , Mesotelioma/complicaciones , Mesotelioma/diagnóstico , Mesotelioma/patología , Mesotelioma/cirugía , Mesotelioma Maligno , Persona de Mediana Edad , Espacio Retroperitoneal , Hidrocele Testicular/diagnóstico , Hidrocele Testicular/etiología , Hidrocele Testicular/cirugía , Neoplasias Testiculares/complicaciones , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/patología , Neoplasias Testiculares/cirugía , Resultado del TratamientoRESUMEN
An 11-year-old female with spastic quadriplegia was seen in the emergency room with abdominal pain, vomiting and anorexia. Labs revealed possible pancreatitis and signs of a urinary tract infection. A CT scan was performed to assess her abdominal pain and demonstrated circumferential air within the bladder wall. Following cultures being drawn, she was started on broad spectrum antibiotics. Her urine eventually grew Klebsiella Pneumoniae. Follow up imaging 2 weeks later demonstrated resolution of the air. Emphysematous cystitis is an exceedingly rare condition in the pediatric population, with this report representing the second case within the literature.