RESUMEN
OBJECTIVES: This study was performed to report a patient with peritoneal sarcoidosis and review the literature for similar cases. METHODS: We described the clinical presentation, course, and outcome of the patient, and reviewed the medical literature from 1966 till 1997 using MEDLINE and the key words sarcoidosis, scar, and peritoneum. RESULTS: Our patient presented with a rapidly growing tumor-like mass at the site of an old appendectomy scar. Laparoscopy showed a large peritoneal mass and multiple small peritoneal nodules that were found to be noncaseating granulomas by pathology. The MEDLINE search uncovered only 16 cases of peritoneal sarcoidosis, most of which presented with ascites. CONCLUSION: This case illustrates the need to consider sarcoidosis, in addition to infections and neoplasms, in the differential diagnosis of peritoneal nodules and exudative ascites.
Asunto(s)
Enfermedades Peritoneales/complicaciones , Sarcoidosis/complicaciones , Adulto , Cicatriz/patología , Femenino , Granuloma/patología , Humanos , Enfermedades Peritoneales/diagnóstico , Complicaciones Posoperatorias , Sarcoidosis/diagnósticoRESUMEN
Metastatic carcinoma of the spleen occurs in a setting of widespread malignant disease. Solitary parenchymal splenic metastasis of ovarian carcinoma is rare. We report a case of a 59-year-old woman who presented with an elevated serum CA125 level due to a solitary splenic metastasis after a long disease-free period. She was treated with laparoscopic splenectomy followed by chemotherapy. The literature contains 16 cases of solitary parenchymal splenic metastasis of ovarian carcinoma. Our case is the third case that was treated with laparoscopic splenectomy. We review the literature, and we focus on the laparoscopic approach in managing these cases.
Asunto(s)
Cistadenocarcinoma Seroso/secundario , Neoplasias Ováricas/patología , Neoplasias del Bazo/secundario , Antígeno Ca-125/sangre , Cistadenocarcinoma Seroso/cirugía , Femenino , Humanos , Laparoscopía/métodos , Persona de Mediana Edad , Neoplasias Ováricas/terapia , Bazo/patología , Bazo/cirugía , Neoplasias del Bazo/cirugíaRESUMEN
Our experience with 118 patients who underwent surgery for a total of 178 popliteal vessels injuries is reported. Forty-nine per cent had injury to both artery and vein and 44% had associated bony fractures. Fourteen patients subsequently needed amputation for a rate of 11.9%. There were no deaths. Delay in repair (> 6 hours from injury), associated fractures, and a shocked condition resulted in increased limb loss. Arterial as well as venous repair, external skeletal fixation, and fasciotomy when necessary lead to improved limb salvage.