RESUMO
OBJECTIVE: To report a case of GIST type retroperitoneal tumor with spontaneous rupture to the abdominal cavity causing acute abdomen secondary to hemoperitoneum. METHODS/RESULTS: We report the case of an 84 year-old man with history of BPH and chronic atrial fibrillation. He presented to the Emergency Department with diffuse abdominal pain, syncope and accompanying vegetative symptoms. Diagnostic work up showed a 19 cm retroperitoneal mass dependent of the left kidney with active bleeding and secondary hemoperitoneum. Left radical nephrectomy was performed with pathology report of gastrointestinal stromal tumor attached to the renal capsule. CONCLUSIONS: Spontaneous hemoperitoneum is a rare entity and it has various etiologies. It is rarely described in retroperitoneal tumors.
Assuntos
Tumores do Estroma Gastrointestinal/complicações , Hemoperitônio/etiologia , Neoplasias Renais/complicações , Neoplasias Retroperitoneais/complicações , Idoso de 80 Anos ou mais , Tumores do Estroma Gastrointestinal/diagnóstico por imagem , Tumores do Estroma Gastrointestinal/cirurgia , Hemoperitônio/terapia , Humanos , Neoplasias Renais/diagnóstico por imagem , Neoplasias Renais/cirurgia , Masculino , Radiografia , Neoplasias Retroperitoneais/diagnóstico por imagem , Neoplasias Retroperitoneais/cirurgia , Ruptura EspontâneaRESUMO
We report a case of a rare congenital malformation, a urogenital sinus cyst in a young patient with non-specific symptoms for several months. A 21-year-old male presented with vague and intermittent abdominal pain. Ultrasound scan showed a retrovesical hypoechoic collection (approximately 6 cm) and left renal agenesis, compatible with a possible congenital malformation. These findings were confirmed by MRI. A laparoscopic excision of the cyst was performed with no complications. Pathology report confirmed a urogenital sinus cyst. The postoperative recovery was uneventful and the patient was discharged within 48 h. Urogenital sinus cysts are rare entities with few cases described in the literature. Imaging techniques such as ultrasound, CT or MRI may help with diagnosis. Therapeutic modalities range from observation to needle aspiration or surgical removal. In our case, we chose a laparoscopic approach to minimize morbidity and achieve an early recovery.
Assuntos
Anormalidades Congênitas/diagnóstico por imagem , Cistos/diagnóstico por imagem , Nefropatias/congênito , Glândulas Seminais/anormalidades , Anormalidades Congênitas/cirurgia , Cistos/cirurgia , Humanos , Rim/anormalidades , Rim/diagnóstico por imagem , Rim/cirurgia , Nefropatias/diagnóstico por imagem , Nefropatias/cirurgia , Masculino , Glândulas Seminais/diagnóstico por imagem , Glândulas Seminais/cirurgia , Ultrassonografia , Adulto JovemAssuntos
Aneurisma da Aorta Torácica/diagnóstico por imagem , Hematoma/diagnóstico por imagem , Nefropatias/diagnóstico por imagem , Trombose/diagnóstico por imagem , Idoso , Anticoagulantes/uso terapêutico , Aorta Torácica/diagnóstico por imagem , Cistos/diagnóstico por imagem , Humanos , Nefropatias/tratamento farmacológico , Masculino , Trombose/tratamento farmacológico , Tomografia Computadorizada por Raios XRESUMO
OBJECTIVE: Testicular epidermoid cyst is a rare clinical entity that accounts for 1% of testicular neoplasias. METHODS AND RESULTS: We report two cases of testicular epidermoid cysts in a 18 and 19 year old males with a painless testicular lesion. Testicular US was carried out showing a hypoechoic nodule in both cases. With the suspicion of testicular neoplasm inguinal orchiectomy was carried out with placement of testicular prostheses in the same act. The pathology report was testicular epidermoid cyst in both cases. CONCLUSIONS: Testicular epidermoid cysts are an uncommon benign entity. When there is a suspicion of this diagnosis, based on tumor markers and ultrasound or MRI images, testicular parenchyma-sparing surgery must be attempted.