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EnglishBackground: Benign multicystic mesothelioma is a rare pathology. Few cases are reported in the medical literature and acute presentation is extremely uncommon. Case presentation: We describe an acute clinical presentation of the neoplasm that revealed itself with signs and symptoms attributable to acute appendicitis in a 41-year-old white man. Abdominal echography and computed tomography scans demonstrated the presence of a mass in direct contiguity with cecal fundus, but diagnosis remained unclear. Our patient underwent surgery and complete removal of the neoplasm. Only a definitive histological examination defined the nature of the lesion. No signs of relapse were demonstrated 1 year after the operation. Conclusions: We showed that an acute presentation of a benign neoplasm represents a diagnostic and therapeutic challenge for the surgeon, because of the difficult differential diagnosis that acute presentation can sometimes pose and the trouble that an emergence treatment can imply. Keywords: Acute appendicitis, Multicystic mesothelioma, Peritoneal neoplasm
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| Data di pubblicazione: | 2016 | |
| Titolo: | Benign multicystic mesothelioma of peritoneum complicating acute appendicitis in a man: a case report. | |
| Autori: | Occhionorelli, Savino; Tartarini, Daniela; Pascale, Giovanni; Maccatrozzo, Stefano; Stano, Rocco; Vasquez, Giorgio | |
| Rivista: | JOURNAL OF MEDICAL CASE REPORTS | |
| Parole Chiave: | Acute appendicitis, Multicystic mesothelioma, Peritoneal neoplasm | |
| Abstract in inglese: | Background: Benign multicystic mesothelioma is a rare pathology. Few cases are reported in the medical literature and acute presentation is extremely uncommon. Case presentation: We describe an acute clinical presentation of the neoplasm that revealed itself with signs and symptoms attributable to acute appendicitis in a 41-year-old white man. Abdominal echography and computed tomography scans demonstrated the presence of a mass in direct contiguity with cecal fundus, but diagnosis remained unclear. Our patient underwent surgery and complete removal of the neoplasm. Only a definitive histological examination defined the nature of the lesion. No signs of relapse were demonstrated 1 year after the operation. Conclusions: We showed that an acute presentation of a benign neoplasm represents a diagnostic and therapeutic challenge for the surgeon, because of the difficult differential diagnosis that acute presentation can sometimes pose and the trouble that an emergence treatment can imply. Keywords: Acute appendicitis, Multicystic mesothelioma, Peritoneal neoplasm | |
| Digital Object Identifier (DOI): | 10.1186/s13256-016-0826-6 | |
| Handle: | http://hdl.handle.net/11392/2352036 | |
| Appare nelle tipologie: | 03.1 Articolo su rivista |
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