ABSTRACT
BACKGROUND: Actinomycosis is a rare chronic infection caused by Actinomyces. The abdominopelvic localization of this pathology makes preoperative diagnosis extremely exceptional. The following report is the case of a patient treated for adenocarcinoma of the middle rectum associated with mesorectal actinomycosis. The diagnosis of actinomycosis was made postoperatively. CASE PRESENTATION: A 69-year-old Caucasian male patient was admitted for rectal bleeding. Clinical and paraclinical assessment revealed a middle rectum adenocarcinoma with local extension in the mesorectum. The patient underwent an anterior resection of the rectum by laparotomy after neoadjuvant chemoradiotherapy. Postoperative follow-up was simple. Pathological study of the specimen noted complete sterilization of the rectal adenocarcinoma and the presence of large foci of suppurative necrosis containing actinomycotic grains in the mesorectum. CONCLUSION: Abdominopelvic actinomycosis is a rare pathology and has therefore rarely been dealt with. This issue can lead to unnecessary and mutilating surgery. We report an exceptional coincidence of rectal adenocarcinoma and mesorectal actinomycosis mistaken for mesorectal extension of the cancer.
Subject(s)
Actinomycosis , Adenocarcinoma , Rectal Neoplasms , Actinomycosis/diagnosis , Actinomycosis/therapy , Adenocarcinoma/diagnosis , Adenocarcinoma/therapy , Aged , Humans , Male , Neoadjuvant Therapy , Rectal Neoplasms/diagnosis , Rectal Neoplasms/therapy , Rectum/diagnostic imaging , Rectum/surgeryABSTRACT
BACKGROUND: Splenic abcess is an uncommon complication for cancer treatment. It occurs more frequently in immunocompromised patients. They are characterized by high mortality. The classic triad (fever, pain of the left hypochondrium, and sensitive mass left) is only present in one-third of cases the clinical spectrum ranging from no symptoms to events such as fever, nausea, vomiting, weight loss, abdominal pain left, splenomegaly. Treatment options are limited, but must be discussed and adapted to the patient profile. CASE PRESENTATION: We report the case of a 62-year-old Arabic male, diagnosed with metastatic lung adenocarcinoma, who, after several cycles of chemotherapy, presented symptoms and signs of splenic abcess. CONCLUSION: Splenic abcess is rare situation, which must be actively researched, to have access to an optimal therapeutic approach.
Subject(s)
Abscess/diagnosis , Adenocarcinoma/drug therapy , Antimitotic Agents/therapeutic use , Lung Neoplasms/drug therapy , Splenic Diseases/diagnosis , Abscess/drug therapy , Abscess/surgery , Adenocarcinoma/pathology , Anti-Bacterial Agents/therapeutic use , Combined Modality Therapy , Humans , Lung Neoplasms/pathology , Male , Middle Aged , Neoplasm Metastasis , Splenectomy , Splenic Diseases/drug therapy , Splenic Diseases/surgery , Splenomegaly , Treatment OutcomeABSTRACT
Hydatid disease is a zoonosis caused by Echinococcus granulosus, and represents a global public health problem. In children the pulmonary location is the most frequent. The hydatid cyst can be asymptomatic and present symptoms when breaking into the bronchial tree or pleura. We present a case of complicated pulmonary hydatid cyst in a 14-year-old girl from Morocco, where this disease is endemic. The initial clinical picture simulated a lung abscess. The management was surgical, associated with albendazole treatment, with a good clinical evolution.
La enfermedad hidatídica es una zoonosis producida por el Echinococcus granulosus, y representa un problema mundial de salud pública. En niños la localización pulmonar es la más frecuente. El quiste hidatídico puede ser asintomático y presentar síntomas al romperse hacia el árbol bronquial o pleura. Presentamos un caso de quiste hidatídico pulmonar complicado en una niña de 14 años residente en Marruecos, donde esta enfermedad es endémica. El cuadro clínico inicial simuló un absceso pulmonar. El manejo fue quirúrgico, asociado a tratamiento con albendazol, con una buena evolución clínica.
Subject(s)
Humans , Female , Adolescent , Echinococcosis, Pulmonary/surgery , Echinococcosis, Pulmonary/drug therapy , Echinococcosis, Pulmonary/diagnostic imaging , Radiography, Thoracic , Tomography, X-Ray Computed , Albendazole/therapeutic use , Anthelmintics/therapeutic useABSTRACT
Bronchogenic cysts are most frequently located in the middle mediastinum near the carina. Esophageal bronchogenic cysts are extremely rare. An intramural esophageal bronchogenic cyst was successfully resected from a 51-year-old man.