RESUMO
Mesenteric or retroperitoneal actinomycosis is an extremely rare disease. The international databases have revealed only 10 cases affecting the mesenterium and another 52 cases affecting the retroperitoneum. We report a 78-year-old female who was admitted with complaints of abdominal pain. Laboratory examination revealed anemia and the clinical examination revealed an irregular mass in the abdomen. Ultrasound and computed tomography (CT) scans showed a solid mass in the mesenteric-retroperitoneal region. Biopsy of the nonresectable mass revealed the presence of chronic inflammation in the mesenteric area with Actinomyces colonies. The patient was treated with oral amoxicillin, 500 mg every 6 hours for 6 months. The symptoms disappeared, but the mesenteric-retroperitoneal mass remains, but smaller in size. Based on the review of the literature and the case reported here, we conclude that mesenteric-retroperitoneal actinomycosis is difficult to diagnose by means of noninvasive techniques as it can masquerade as a malignant process. An accurate diagnosis is always obtained in a histological or microbiological examination, often requiring surgical intervention. Treatment with penicillin has proven to be effective.
Assuntos
Actinomicose/diagnóstico , Mesentério/microbiologia , Espaço Retroperitoneal/microbiologia , Actinomicose/diagnóstico por imagem , Actinomicose/tratamento farmacológico , Idoso , Amoxicilina/uso terapêutico , Diagnóstico Diferencial , Feminino , Humanos , Penicilinas/uso terapêutico , Tomografia Computadorizada por Raios XRESUMO
Se presenta un caso de mesotelioma maligno en una paciente joven, localizado en la región inguinal y sin aparente relación con ningún saco herniario ni cavidad peritoneal. Se revisa la bibliografía existente, sin encontrar ninguna otra forma igual de mesotelioma (AU)
Assuntos
Adolescente , Feminino , Humanos , Mesotelioma/cirurgia , Mesotelioma/diagnóstico , Mesotelioma/etiologia , Membrana Serosa/cirurgia , Membrana Serosa/patologia , Laparoscopia/métodos , Laparoscopia , Abdome/patologia , Abdome , Neoplasias Primárias Desconhecidas/cirurgia , Neoplasias Primárias Desconhecidas/diagnóstico , Neoplasias Primárias Desconhecidas/etiologia , Neoplasias Primárias Desconhecidas , Neoplasias Primárias Desconhecidas/tratamento farmacológico , Neoplasias Primárias Desconhecidas/radioterapia , Imageamento por Ressonância Magnética , Mesoderma/patologia , Prognóstico , Neoplasias Mesoteliais/diagnóstico , Neoplasias Mesoteliais/epidemiologia , Neoplasias Mesoteliais/etiologia , Metástase Neoplásica/fisiopatologia , Metástase NeoplásicaRESUMO
We present two cases of inguinoscrotal hernia that contains stomach, both associated with a chronic obstructive pulmonary disease; one of them is shown with a intermittent gastric obstruction syndrome, the other being a radiological finding in a patient with dispeptic symptoms. The first one died of a respiratory infection, before operation, and the second refused operation because of his scarce symptomatology. A review of the literature shows 60 cases reported including our cases.
