RESUMO
A 66-year-old female patient was treated for a posterior mediastinal tumour with unknown histology. During thoracotomy, repetitive hypertensive crises had to be treated. The tumour was completely resected. Pathology revealed an extra-adrenal pheochromocytoma. Diagnosis of pheochromocytoma is usually made on the basis of clinical presentation and elevated catecholamine levels in serum or urine. Imaging is used primarily for localizing tumours prior to surgery. Complete surgical excision is the primary treatment. The only absolute indicator of malignancy is the identification of distant metastases to bone, liver, lung or lymph nodes.
Assuntos
Neoplasias das Glândulas Suprarrenais/patologia , Mediastino , Feocromocitoma/patologia , Neoplasias das Glândulas Suprarrenais/diagnóstico por imagem , Neoplasias das Glândulas Suprarrenais/cirurgia , Idoso , Feminino , Humanos , Imageamento por Ressonância Magnética , Feocromocitoma/diagnóstico por imagem , Feocromocitoma/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A 74-year-old male presented with bilateral invalidating claudication. A bilateral percutaneous transluminal angioplasty (PTA) with stenting of both superficial femoral arteries was performed but complicated by an urosepsis with Escherichia coli and a septic phlebitis at the site of an intravenous line. The phlebitis was complicated by a local abcedation for which incision and drainage were performed. One month after discharge he was readmitted at our hospital with septic fever and positive hemocultures for Escherichia coli. Positron emission tomography-computed tomographic scan (PET/CT-scan) showed a mycotic aneurysm of the thoracic aorta. Because no cryopreserved donor aorta was available and the aneurysm size rapidly increased, an open in situ repair was performed with a Dacron silver prosthesis soaked in rifampicin. His recovery was further complicated by a perforated toxic megacolon for which a subtotal colectomy was performed. Further recovery was uncomplicated and 10 months after the aortic repair patient is still free from infection.
Assuntos
Aneurisma Infectado/cirurgia , Aneurisma da Aorta Torácica/cirurgia , Idoso , Aneurisma Infectado/epidemiologia , Aneurisma da Aorta Torácica/epidemiologia , Implante de Prótese Vascular , Colectomia , Comorbidade , Humanos , Claudicação Intermitente/epidemiologia , Claudicação Intermitente/etiologia , Masculino , Megacolo Tóxico/epidemiologia , Megacolo Tóxico/cirurgiaRESUMO
We report a very rare localization of glomus tumor: the quadriceps ligament. The clinical diagnosis in this 19-year-old male patient was difficult. The final diagnosis was established at pathology examination of the surgical resection specimen. Resection provided cure. A review of the literature confirms that the quadriceps is a very rare localization of glomus tumor, no other cases have been reported previously.