415 results on '"Apendice"'
Search Results
2. Mucocele apendicular: a propósito de un caso
- Author
-
Meriem Boui, Zakaria Abide, Nadia Boujida, Tarik Salaheddine, Jamal El Fenni, and Mohamed Lahkim
- Subjects
Mucocele Apendicular ,Tomografía Computarizada ,Apéndice ,Medicine - Abstract
Resumen: El mucocele apendicular es una entidad patológica rara, pero potencialmente peligrosa, se presenta en diferentes formas clínicas. Presentamos el caso de un paciente de 47 años, sin antecedentes particulares, que consulta por dolor crónico en fosa ilíaca derecha y cuya tomografía computarizada abdomino-pélvica muestra una masa quística del apéndice que evoca un mucocele apendicular. El paciente se sometió a una apendicectomía. El análisis histológico de este confirmó el diagnóstico de mucocele apendicular sin células malignas. El seguimiento postoperatorio fue sencillo. Abstract: Appendiceal mucocele is a rare pathological entity, but potentially dangerous, it presents in different clinical forms. We present the case of a 47-year-old patient, with no particular history, who consulted for chronic pain in the right iliac fossa and whose abdominal-pelvic computed tomography showed a cystic mass in the appendix that evokes an appendiceal mucocele. The patient underwent an appendectomy. Histological analysis of this confirmed the diagnosis of appendiceal mucocele without malignant cells. Postoperative follow-up was easy.
- Published
- 2023
- Full Text
- View/download PDF
3. MUCOCELE DE APÊNDICE: EXPLORANDO CARACTERÍSTICAS CLÍNICAS, DIAGNÓSTICO E OPÇÕES DE TRATAMENTO NA LITERATURA CIENTÍFICA.
- Author
-
Drago, Marina Coleta, Moreira, Andressa Gabrielle, Castro, Letícia Sampaio, Afonso, Beatriz Reis, Paiva, Júlia Dourado, and de Almeida Pinto, Arthur Bispo
- Subjects
LITERATURE reviews ,OPERATIVE surgery ,MUCUS ,SUSPICION ,SYMPTOMS ,APPENDIX (Anatomy) - Abstract
Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
4. Mucocele apendicular: a propósito de un caso.
- Author
-
Boui, Meriem, Abide, Zakaria, Boujida, Nadia, Salaheddine, Tarik, El Fenni, Jamal, and Lahkim, Mohamed
- Abstract
Copyright of Revista Médica Clínica Las Condes is the property of Editorial Sanchez y Barcelo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
5. Mucinous neoplasia of the cecal appendix
- Author
-
Yinett Hernández León, Julio Jesús Jimenez Galainena, Osyari Ipsan Muñoz, Liuba Luisa Arteche Hidalgo, and Lina Isabel Rodríguez Hernández
- Subjects
apéndice ,neoplasia ,mucina. ,Medicine ,Medicine (General) ,R5-920 - Abstract
Introduction: Mucinous neoplasms of the cecal appendix are infrequent. These lesions can be an incidental finding in emergency appendectomies, since their preoperative diagnosis is difficult due to the lack of specificity of their symptoms. Objective: To present a case of low-grade mucinous neoplasia of the cecal appendix. Case Report: A 73-year-old male patient presented with acute abdominal pain, vital signs and laboratory tests within normal limits, and ultrasonography showing a cecal appendix measuring 76 x 67 x 107 mm. Radical appendectomy was performed, which included resection of the mesoappendix from the appendicular artery, the antimesenteric border of the ligament of Tréves and the free appendicular base, which included the cecum (cecectomy). In the histopathological examination it was observed that the cecal appendix belonged to 10 x 8 x 5 cm with tumor lesion in the base and part of the body; the cut showed outflow of viscous, mucoid, yellowish material, cystic areas of less than 1 cm, congestive vessels, presence of mucous glands with cells showing scarce atypia and an expansive invasion affecting the muscular and mucosal layer with focal loss and slight fibrosis of the submucosa. Low grade cecal appendiceal mucinous neoplasia of the appendix was diagnosed, with resolution and satisfactory evolution of the patient. Conclusions: Mucinous neoplasms of the cecal appendix may be an incidental finding. They have non-specific symptoms, are largely treated by resection and histopathological study is necessary for their diagnosis.
- Published
- 2024
6. Diagnóstico fortuito de neoplasia mucinosa de apéndice establecido durante la cesárea.
- Author
-
Daniela Guio, Yulia, Camila Borraez, María, Paula González, María, Augusto Jaimes, Carlos, and Viviana Jaimes, Claudia
- Subjects
APPENDICITIS ,MUCINOUS adenocarcinoma ,FETAL ultrasonic imaging ,CESAREAN section ,PREGNANT women ,OVARIAN tumors ,MORBID obesity ,FETAL development - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
7. Tumor apendicular en adulto joven
- Author
-
Velser Isaac Olmedo Valarezo, Gabriel Antonio Paez Maldonado, Víctor Jonathan Vera Franco, Alberto Anibal Nuques Martínez, María José Vallejo Collaguazo, Oliver Joel Toala Mosquera, and Fabián Marcelo Zambrano Palacios
- Subjects
tumor ,apéndice ,dolor abdominal ,pérdida de peso ,Medicine ,Surgery ,RD1-811 - Abstract
El tumor apendicular es raro, normalmente se descubre durante una apendicectomía. Este es el caso de un varón de 21 años que ingresa por dolor abdominal, acompañado de vómitos, alza térmica y pérdida de peso. En paraclínicos hematocrito: 30,7%, hemoglobina: 10,1g/dl. Evaluado por Cirugía General, intervienen por cuadro de apendicitis aguda; los hallazgos quirúrgicos son lesiones granulomatosas, apéndice congestivo con tumoración. Se toma biopsia que revela neoplasia epitelial maligna consistente con adenocarcinoma
- Published
- 2023
- Full Text
- View/download PDF
8. Carcinoide do Apeendice Ileo-Cecal
- Author
-
Turibio Braz
- Subjects
Apêndice ,Carcinoma Neuroendócrino ,Neoplasias do Íleo/diagnóstico ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Relato de caso de 18 de Outubro de 1948, que passamos a relatar. L. P. C., 37 anos, preto, casado, registrado no S. N. de Câncer sob o número 12.390. Internado na data acima referida, com o diagnóstico de: “Brida. cicatricial post-operâtória (apendicectomia), com sindrome de sub-oclusão intermitente”. O doente nos foi encaminhado pelo seu médico clinico Dr. Granadeiro Neto, nosso particular amigo e cujo diagnóstico foi perfeitamente aceito por todos nós do Serviço.
- Published
- 2023
- Full Text
- View/download PDF
9. Linfoma Burkitt primario de apéndice cecal: Reporte de caso.
- Author
-
Rakel, Cardeña-Mamani, Víctor, Yep-Gamarra, Luis, Concepción-Urteaga, Elena, Alvarado-León, Julio, Hilario-Vargas, and Paul, Galván Guillermo
- Abstract
Introduction: Primary lymphoma of the appendix occurs in 0.015% of all malignant neoplasms of the appendix. The most frequent clinical manifestation is acute appendicitis, and pathological analysis is very important. Case report: Primary lymphoma of the cecal appendix, a 38-year-old man was admitted with acute appendicitis. Macroscopic histopathological study shows diffusely thickened white appendage wall. Microscopically: high-grade Burkitt lymphoma, ACL, CD20, CD10 positive, KI 67 positive 95%, CD3, BCL2, EBV negative. Postoperative: thoracic abdominal tomography showed a tumor in the right iliac fossa without lesions or adenopathies in the abdomen and thorax. The patient was treated with two courses of chemotherapy and a control abdominal CT was performed at 6 months, which showed the initial tumor. At 6 months the patient is stable and controlled. Conclusion: The value of the histopathological study in cecal appendages is emphasized in the presence of primary cecal lymphomas. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
10. Adenocarcinoma de apéndice, un diagnóstico diferencial en pacientes con dolor abdominal. Reporte de caso
- Author
-
León-Díaz, Adriana Maritza, Camelo-Pardo, Gianmarco, Sanabria-Lozano, Diego Felipe, and Beltrán-Tirado, María Alejandra
- Subjects
apéndice ,dolor abdominal ,adenocarcinoma ,neoplasias intestinales ,diagnóstico diferencial ,appendix ,abdominal pain ,intestinal neoplasms ,diagnosis differential ,apêndice ,dor abdominal ,neoplasias intestinais ,Medicine - Abstract
Introducción. El dolor abdominal agudo es una causa frecuente de consulta en los servicios de urgencias. Su incidencia es alrededor del 5%, de los cuales el 10%-25% de los pacientes requieren tratamiento quirúrgico. Las neoplasias apendiculares primarias son infrecuentes, actualmente representan 1% de las neoplasias malignas de origen gastrointestinal. Existe un predominio en mujeres y se debe sospechar en pacientes con factores de riesgo. El objetivo es entender la importancia del diagnóstico oportuno en el abordaje del paciente con dolor abdominal agudo. Presentación del caso. Mujer con cuadro clínico de 5 días de dolor abdominal, con hallazgo en tomografía de abdomen de marcada dilatación quística del apéndice cecal con calcificaciones lineales y nodulares en la pared y su interior. Intraoperariamente, se realizó hemicolectomía derecha con resultado histológico de neoplasia mucinosa del apéndice (adenoma serrado) con pérdida de la muscularis mucosae, catalogándolo como adenocarcinoma de bajo grado. Discusión. Los tumores apendiculares representan el 1% de las neoplasias malignas de origen gastrointestinal, son un hallazgo incidental (0.7-1.4%) en los procedimientos de apendicectomía. El diagnóstico es histopatológico y el pronóstico se relaciona con la clasificación. Es importante conocer, identificar y sospechar esta patología dada su infrecuencia, con lo cual se puede mejorar el pronóstico en los pacientes. Conclusión. Los tumores apendiculares son infrecuentes, los cuales deben ser incluidos en el grupo de patologías causantes de dolor abdominal agudo. Introduction. Acute abdominal pain is a frequent cause of consultation to emergency services. Its incidence is about 5%, of which 10%-25% of patients require surgical treatment. Primary appendiceal neoplasms are infrequent. They currently represent 1% of malignant neoplasms of gastrointestinal origin. They are predominant in women and must be suspected in patients with risk factors. The objective is to understand the importance of timely diagnosis in approaching patients with acute abdominal pain. Case report. A woman with clinical condition of 5 days of abdominal pain. Marked cystic dilation of the cecal appendix with linear and nodular calcifications on its wall and interior found in a tomography of the abdomen. Intraoperatively, a right hemicolectomy was performed with a histological result of mucinous neoplasm of the appendix (serrated adenoma) with loss of the muscularis mucosae, classifying it as a low grade adenocarcinoma. Discussion. Appendiceal tumors represent 1% of malignant neoplasms of gastrointestinal origin, with an incidental finding (0.7-1.4%) in appendectomy procedures. The diagnosis is histopathological, and prognosis is related to its classification. It is important to know, identify and suspect this pathology due to its infrequency, which can improve the patient’s prognosis. Conclusion. Appendiceal tumors are infrequent and should be included in the group of pathologies that cause acute abdominal pain. Introdução. A dor abdominal aguda é causa frequente de consulta nos serviços de emergência. Sua incidência é em torno de 5%, dos quais entre 10% e 25% dos pacientes necessitam de tratamento cirúrgico. As neoplasias primárias de apêndice são raras, representando atualmente 1% das neoplasias malignas de origem gastrointestinal. Há predominância em mulheres e deve-se suspeitar em pacientes com fatores de risco. O objetivo é compreender a importância do diagnóstico oportuno na abordagem de pacientes com dor abdominal aguda. Relato de caso. Mulher com quadro clínico de dor abdominal por 5 dias, com achado tomográfico de abdome de dilatação cística acentuada do apêndice cecal com calcificações lineares e nodulares na parede e seu interior. No intraoperatório foi realizada hemicolectomia direita com resultado histológico de neoplasia mucinosa de apêndice (adenoma serrilhado) com perda da muscularis mucosae, classificando-a como adenocarcinoma de baixo grau. Discussão. Os tumores apendiculares representam 1% das neoplasias malignas de origem gastrointestinal, sendo um achado incidental (0.7-1.4%) em procedimentos de apendicectomia. O diagnóstico é histopatológico e o prognóstico está relacionado à classificação. É importante conhecer, identificar e suspeitar desta patologia dada a sua infrequência, o que pode melhorar o prognóstico dos pacientes. Conclusão. Os tumores apendiculares são pouco frequentes e devem ser incluídos no grupo de patologias que causam dor abdominal aguda.
- Published
- 2022
- Full Text
- View/download PDF
11. Odds and Ends.
- Author
-
Jellis, Thomas
- Subjects
- *
LIBRARIES , *FIELD research - Abstract
In this paper I reflect on the odds and ends of research – that is to say, the fragments of notes, the miscellanea of drafts, the offcuts of applications, the keepsakes of fieldwork; in short, the archival remains of unfinished research. Through a discussion of failure, loss, the incomplete, and the abandoned, the paper poses questions about the threshold of endings. At what point does something fall by the wayside, never to be returned to? More pragmatically, what might we do with our "loss libraries"? And how might we pick up or return to those concepts, field-sites, or collaborators that we once shared, however temporarily, a trajectory with? [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
12. Apendagitis aguda como causa infrecuente de abdomen agudo quirúrgico: Reporte de un caso.
- Author
-
Montes Arcón, Pablo Salomón, Pérez Montiel, Camilo Andrés, Redondo de Oro, Katherine Tatiana, Hernández Pinilla, Katya Vanessa, and Giraldo Cifuentes, Juliana Andrea
- Abstract
Introduction: Abdominal pain is one of the most frequent reasons for consultation in the emergency services, its adequate diagnostic approach determines the treatment to be chosen by the doctor in charge of the case; This in turn can opt for medical or surgical management, all this if the underlying cause of the symptoms presented by the patient is considered. Clinical case: This article presents the case of a male patient in the fifth decade of life, with a surgical history of appendectomy, which he consults due to a clinical picture of intense abdominal pain located in the right iliac fossa. In the physical examination, the presence of signs of peritoneal irritation was striking, for which serological studies were requested, which were found to be within normal parameters, in addition to a computed tomography of the abdomen that revealed trabeculation of pericecal fat. The patient persisted with symptoms, so he was taken for open abdominal cavity exploration, with an intraoperative finding of acute appendagitis. Conclusion: Despite being an infrequent cause of acute surgical abdomen, acute appendagitis should always be a diagnosis to be considered by emergency physicians and surgeons. The availability of imaging studies that allow an adequate characterization of the clinical picture is going to be essential for the management of patients, especially if the whole variety of entities that occur in the abdominal cavity are taken into account. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
13. EPIDEMIOLOGICAL-CLINICAL CHARACTERISTICS AND RESULTS OF APPENDICEAL PLASTRON MANAGEMENT IN ADULT PATIENTS FROM A REFERENCE HOSPITAL IN PERU.
- Author
-
Delgado Garro, Aaron Milton, Cehua Alvarez, Efrain Antonio, Virú Flores, Horus Michael, Roque Quezada, Juan Carlos, Valdiglesias Ochoa, Diana Jennifer, Nieves Cordova, Luis Enrique, and Quezada Gómez, Gabriela
- Subjects
APPENDICITIS treatment ,STATISTICS ,SCIENTIFIC observation ,NAUSEA ,DIARRHEA ,APPENDICITIS ,CROSS-sectional method ,MULTIVARIATE analysis ,QUANTITATIVE research ,REGRESSION analysis ,VOMITING ,SYMPTOMS ,MEDICAL referrals ,PUBLIC hospitals ,ALCOHOL drinking ,ACUTE diseases ,DISEASE management ,POISSON distribution ,ADULTS - Abstract
Copyright of Revista de la Facultad de Medicina Humana is the property of Instituto de Investigaciones en Ciencias Biomedicas de la Universidad Ricardo Palma and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
14. Appendiceal neuroendocrine neoplasia: analysis of 50 patients.
- Author
-
Terzioğlu, Serdar G., Kılıç, Murat Ö., Öksüz, Pınar, and Gürer, Ahmet
- Subjects
NEUROENDOCRINE tumors ,APPENDICITIS ,APPENDECTOMY ,METASTASIS ,CANCER histopathology - Abstract
Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
15. Cistadenoma mucinoso del apéndice cecal en paciente con cuadro clínico de apendicitis aguda operado de apendicetomía por laparoscopia.
- Author
-
Valencia Martínez, Jesús Gerardo, Reynoso Saldaña, Donovan, Reynoso González, Ricardo, Ángeles Santillán, Mariana, Aja Sixto, Viridiana, and Heredia Machuca, Marcos Mauricio
- Abstract
Mucoceles of the appendix are rare, predominate in women and usually present as a palpable mass in the right lower quadrant. Most patients are asymptomatic. The mucocele is defined as a cystic dilatation of the appendicular lumen caused by mucin accumulation. We present the case of a male patient in his seventh decade with clinical symptoms of acute abdomen with suspicion of acute appendicitis, laparoscopic hemicolectomy surgery was performed after finding findings of tumor dependent on ascending colon (blind region), indurated 80 × 100 mm approximately, performing right hemicolectomy plus ileocolonic lateroterminal anastomosis with adequate postoperative evolution. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
16. Apéndice cecal invertida: hallazgos en colonoscopía
- Author
-
Camilo Blanco-Avellaneda and Robin Germán Prieto-Ortiz
- Subjects
apéndice ,intususcepción ,apendicitis ,apendicetomía ,colonoscopia ,pólipo ,Surgery ,RD1-811 - Abstract
Introducción. El apéndice cecal invertido, inversión apendicular o intususcepción apendicular, corresponde a una condición anatómica descrita en 1859. La primera operación de invaginación apendicular se realizó en 1890, y desde entonces se han descrito diferentes técnicas quirúrgicas y endoscópicas para el tratamiento de esta alteración. Casos clínicos. Se presentan dos casos de pacientes a quienes se les indicó colonoscopia como parte de estudio de dolor abdominal y diarrea y se identificó una intususcepción apendicular completa y apendicitis y una inversión del muñón apendicular. Resultados. Mediante la colonoscopia se hizo el diagnóstico de apendicitis aguda en una de las pacientes, quien presentaba inversión apendicular completa tipo 5, que fue tratada con manejo farmacológico y seguimiento clínico. En la otra paciente hubo un hallazgo incidental de inversión del muñón apendicular tipo 3. Conclusiones. Durante la realización de estudios colonoscópicos, se debe tener en cuenta el diagnóstico de intususcepción apendicular o apéndice invertido, para evitar intervenciones erróneas, como polipectomías, que generen riesgo potencial en los pacientes.
- Published
- 2022
- Full Text
- View/download PDF
17. MUCINOUS ADENOCARCINOMA OF THE CECAL APPENDIX: CLINICAL CASE.
- Author
-
Contreras Gala, Katherine Luisa and Velarde Guzmán, Patricia
- Subjects
TUMOR diagnosis ,ADENOCARCINOMA ,APPENDECTOMY ,PAIN ,MICROSCOPY ,APPENDIX (Anatomy) ,CECUM cancer - Abstract
Copyright of Revista de la Facultad de Medicina Humana is the property of Instituto de Investigaciones en Ciencias Biomedicas de la Universidad Ricardo Palma and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
18. Well-Differentiated Neuroendocrine Tumor of the Appendix.
- Author
-
Durry, Meilany Feronika and Lintong, Poppy Magdalena
- Subjects
NEUROENDOCRINE tumors ,ABDOMINAL pain ,TUMOR treatment ,APPENDIX (Anatomy) ,OPERATIVE surgery ,HISTOPATHOLOGY ,PROGNOSIS ,APPENDICITIS - Abstract
Copyright of Gaceta Médica de Caracas is the property of Academia Nacional de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
19. Adenocarcinoma de apéndice, un diagnóstico diferencial en pacientes con dolor abdominal. Reporte de caso.
- Author
-
Maritza León-Díaz, Adriana, Camelo-Pardo, Gianmarco, Felipe Sanabria-Lozano, Diego, and Alejandra Beltrán-Tirado, María
- Subjects
- *
ADENOCARCINOMA , *DISEASE risk factors , *ABDOMINAL pain , *RIGHT hemicolectomy , *DIGESTIVE organs , *APPENDIX (Anatomy) , *TUMORS , *DIAGNOSIS of abdominal pain , *PROGNOSIS , *MUCINOUS adenocarcinoma , *PANCREATIC cysts - Abstract
Introduction. Acute abdominal pain is a frequent cause of consultation to emergency services. Its incidence is about 5%, of which 10%-25% of patients require surgical treatment. Primary appendiceal neoplasms are infrequent. They currently represent 1% of malignant neoplasms of gastrointestinal origin. They are predominant in women and must be suspected in patients with risk factors. The objective is to understand the importance of timely diagnosis in approaching patients with acute abdominal pain. Case report. A woman with clinical condition of 5 days of abdominal pain. Marked cystic dilation of the cecal appendix with linear and nodular calcifications on its wall and interior found in a tomography of the abdomen. Intraoperatively, a right hemicolectomy was performed with a histological result of mucinous neoplasm of the appendix (serrated adenoma) with loss of the muscularis mucosae, classifying it as a low grade adenocarcinoma. Discussion. Appendiceal tumors represent 1% of malignant neoplasms of gastrointestinal origin, with an incidental finding (0.7-1.4%) in appendectomy procedures. The diagnosis is histopathological, and prognosis is related to its classification. It is important to know, identify and suspect this pathology due to its infrequency, which can improve the patient's prognosis. Conclusion. Appendiceal tumors are infrequent and should be included in the group of pathologies that cause acute abdominal pain. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
20. Reporte de caso de neoplasia biliar metastásica como causa inusual de apendicitis
- Author
-
Rafael Gregorio Peña Amaya, Jaime Andrés Montaña López, Carolina Isabel Sánchez Marrugo, and Luis Carlos Pérez Navarro
- Subjects
apéndice ,metástasis ,cáncer ,colangiocarcinoma ,adenocarcinoma ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Introducción: se describe el caso de una paciente con una metástasis apendicular como primera manifestación encontrada de un colangiocarcinoma. Síntomas principales: expresado con dolor abdominal, ictericia, hiporexia y coluria. Métodos y resultados: se documentó un plastrón apendicular histológicamente compatible con adenocarcinoma apendicular metastásico, estrechez del conducto hepático común, con alta sospecha de colangiocarcinoma, corroborado luego con la realización de una colangiopancreatografía retrógrada endoscópica. Conclusiones: los tumores apendiculares metastásicos son una presentación infrecuente y poco estudiada, donde los secundarios a neoplasia de vía biliar se han reportados de forma muy escasa en la literatura.
- Published
- 2022
- Full Text
- View/download PDF
21. Reporte de caso de neoplasia biliar metastásica como causa inusual de apendicitis.
- Author
-
Peña-Amaya, Rafael Gregorio, Montaña-López, Jaime Andrés, Sánchez-Marrugo, Carolina Isabel, and Pérez-Navarro, Luis Carlos
- Abstract
Introduction: We describe the case of a patient with appendiceal metastasis as the first manifestation of a cholangiocarcinoma. Main symptoms: Abdominal pain, jaundice, hyporexia, and choluria. Methods and results: We documented an appendiceal plastron histologically compatible with metastatic appendiceal adenocarcinoma, common hepatic duct stricture, and a suspected cholangiocarcinoma, later corroborated by endoscopic retrograde cholangiopancreatography. Conclusions: Metastatic appendiceal tumors are an infrequent and poorly studied manifestation, whereas those secondary to bile duct neoplasia have rarely been reported in the literature. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
22. Mucocele apendicular
- Author
-
Wilfredo Ernesto Santiesteban Pupo, René Santiago Borges Sandrino, and Enia Ramón Musibay
- Subjects
mucocele ,apéndice ,apendicitis ,tumor. ,Medicine ,Medicine (General) ,R5-920 - Abstract
Introducción: El mucocele es una dilatación apendicular por secreción mucosa secundaria a la obstrucción de la luz, su incidencia estimada es de 0,2-0,3 % de todas las apendicectomías realizadas y el 8-10 % de todos los tumores apendiculares. Objetivo: Presentar un caso inusual de cirugía de urgencia, con dolor abdominal en fosa ilíaca derecha, sugestivo de apendicitis aguda operado en el servicio de urgencia. Caso clínico: Paciente femenina de 32 años de edad, que consulta por dolor abdominal en fosa ilíaca derecha asociado a náuseas, con dolor a la palpación en dicha zona, defensa muscular y dolor a la descompresión brusca del abdomen, fue intervenida quirúrgicamente con el diagnóstico presuntivo apendicitis aguda. Se encuentra durante videolaparoscopia al apéndice cecal aumentado de tamaño, sin compromiso de su base, por lo cual se decide realizar laparotomía y apendicectomía convencional. La paciente fue egresada a las 48 horas de operada con evolución favorable y pendiente de resultado anatomopatológico, el cual informó mucocele apendicular. Conclusiones: El mucocele apendicular es una entidad poco frecuente, que predomina en el sexo femenino y edades entre 50 y 60 años. El tratamiento de elección es el quirúrgico.
- Published
- 2020
23. mucocele apendicular su reproducción experimental
- Author
-
José A Piquinela
- Subjects
apéndice ,mucocele ,cirugía ,Surgery ,RD1-811 - Abstract
Presentado en sesión de 5 de agosto de 1953
- Published
- 2020
24. Mucocele apendicular
- Author
-
José A Piquinela
- Subjects
intestino ,apéndice ,cirugía ,tumores ,Surgery ,RD1-811 - Abstract
Presentado en sesión de 12 de noviembre de 1952
- Published
- 2020
25. Fistula reno-apendicular como presentación inusual de pielonefritis xantogranulomatosa: reporte de caso.
- Author
-
Torrado Arenas, Daniel Mauricio, Mena Galviz, Liseth Susana, Rocha Yaruro, Valentina, Kamis, Ali Fares, Mercado López, Ignacio Vicente, and Ortega Ariza, Leonello Antonio
- Subjects
URINARY calculi ,LUMBAR pain ,URINARY organs ,URINARY fistula ,APPENDICITIS ,ALIMENTARY canal ,HYDRONEPHROSIS - Abstract
Copyright of Médicas UIS is the property of Universidad Industrial de Santander and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
26. Apendicitis Aguda
- Author
-
Rami Mikler, Ricardo Buitrago, and Jaime Escallón
- Subjects
Apéndice ,Apendicitis aguda ,Apendicectomía ,Sepsis ,Antibióticos ,Surgery ,RD1-811 - Abstract
Se revisaron 399 casos con diagnóstico de apendicitis aguda tratados en el Centro Médico de los Andes durante un período de 4.1 años; se analizaron mediante un programa de computador; se establece la distribución por edades, siendo más frecuente entre la segunda y tercera décadas de la vida. Para el diagnóstico, se relieva nuevamente la utilidad del cuadro hemático con presencia de leucocitosis. Se estudia el valor relativo de las imágenes diagnósticas. Se comprueba la importancia del uso de antibióticos profilácticos demostrada por la baja incidencia de infección de la herida quirúrgica. Se analizan los cultivos obtenidos y se establece el tipo de flora predominante. El porcentaje de apéndices sanos es del 6.9% de acuerdo con la literatura médica mundial.
- Published
- 2021
27. Variaciones anatómicas del apéndice cecal en tomografía, un estudio retrospectivo.
- Author
-
Laura De León Benedetti and Jesus De León Martínez
- Subjects
Apéndice ,Ciego ,Tomografía ,Tracto gastrointestinal inferior ,Variación anatómica ,Medicine (General) ,R5-920 - Abstract
Introducción: la causa de dolor abdominal mayormente relacionada a cirugía es la apendicitis; su diagnóstico se ve afectado por las variaciones anatómicas del apéndice vermiforme, debido a que es el órgano abdominal con mayores variaciones en cuanto a su posición y relación con otros órganos. Objetivo: determinar las características del apéndice cecal normal en tomografías computarizadas, incluidas la longitud, el diámetro, el grosor de la pared, y la ubicación de la base y de la punta apendicular. Métodos: se estudiaron tomografías computarizadas abdominales con imágenes del protocolo de exploración UroCT para identificar la localización de la base y la punta, y medir longitud, ancho y diámetro del apéndice cecal. La ubicación de la punta se categorizó como anterior o posterior y se subdividió en: pélvica, retrocecal/retrocólica, postileal, paracólica, subcecal, subhepática o línea media. La localización de la base apendicular se definió en tres planos en relación con la válvula ileocecal: antero-posterior, medial-lateral o superior-inferior. Resultados: fueron incluidas tomografías abdominales de 83 pacientes en las que se determinaron las características generales del apéndice cecal: se observó una longitud media de 78 mm (DE = 23,41) y diámetro medio de 6,55 mm (DE= 1,77). Las bases tuvieron con mayor frecuencia una localización inferior posterior, lateral y medial a la válvula ileocecal, las puntas estuvieron más frecuentemente localizadas en la cavidad pélvica, seguidas de localizaciones retrocecal y paracecal. Conclusión: la localización de la base del apéndice se correlaciona con lo descrito en estudios previos. No existe correlación entre la ubicación de la punta y la longitud del apéndice, esto significa que, incluso si el apéndice es largo, no se asocia con una ubicación de la punta más alejada de la válvula ileocecal.
- Published
- 2021
- Full Text
- View/download PDF
28. Síndrome Towens-Brocks, presentación de caso.
- Author
-
Santana Hernández, Elayne Esther and Peña Hernández, Anavíes Delsy
- Abstract
Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
29. Epiploitis aguda retráctil post-peritonitis apendicular
- Author
-
María Teresa Cabrera Roca
- Subjects
epiplón ,cirugía ,dolor abdominal ,apéndice ,Surgery ,RD1-811 - Abstract
Presentado en sesión de 12 de setiebre de 1962
- Published
- 2020
30. Síndrome apendicular con tumefacción ulcerada del ciego por posible amebiasis
- Author
-
Domingo Prat
- Subjects
parásitos intestinales ,tumor ,apéndice ,intestino delgado ,Surgery ,RD1-811 - Abstract
Presentado en sesión de 7 de abril de 1943
- Published
- 2020
31. Tumor carcinoide del apéndice cecal en mujer adolescente: a propósito de un caso
- Author
-
Javier Martínez Navarro, Lisanka Fumero Roldán, Virgen Yazmín Martínez Navarro, and Erika Izquierdo Reyes
- Subjects
tumor carcinoide ,apéndice ,neoplasias del ciego ,adolescente ,femenino ,Internal medicine ,RC31-1245 ,Special situations and conditions ,RC952-1245 - Abstract
Los carcinoides son tumores neuroendocrinos de baja incidencia en la población general. Los tumores carcinoides apendiculares pueden presentarse de manera asintomática, los cuales se descubren en las biopsias de las piezas operatorias de apendicectomías. En otros casos la manifestación habitual de estos tumores es el proceso inflamatorio agudo del apéndice cecal, razón por la cual el diagnóstico definitivo se conoce solo con el informe histopatológico. Se presenta el caso de tumor carcinoide del cuerpo apendicular diagnosticado en una adolescente de 15 años intervenida quirúrgicamente por sospecha de apendicitis aguda. El interés por presentar el caso radica en su aparición poco frecuente en la adolescencia así como su localización en cuerpo o tercio medio del órgano.
- Published
- 2018
32. Effect of appendix removal on the obstetrical outcome of the subsequent pregnancy. A questionnaire-based preliminary investigation.
- Author
-
Beksac, Kemal, Fadiloglu, Erdem, Unal, Canan, Rotar, Ioana Cristina, Lukacs, Istvan Attila, Mureşan, Daniel, and Beksac, Mehmet Sinan
- Subjects
- *
APPENDIX (Anatomy) , *APPENDIX diseases , *OBSTETRICS , *MATERNAL health , *PREGNANCY complications - Abstract
Aim. Our objective was to demonstrate the impact of appendix removal on the obstetric outcome of the next pregnancy. Materials and method. A questionnaire for the survey of the impact of appendix removal on the obstetric outcome of subsequent pregnancy was applied in 52 and 79 women, who were the study and the control cases, respectively. Prepregnancy complaints, such as pelvic or abdominal discomfort and back pain, were recorded together with the pregnancy outcome, delivery findings and the maternal risk factors for adverse gestational outcome. Results. The rate of pelvic complaints was 67.3% (35/52) and 32.9% (26/79) in patients who were appendectomized or not, respectively. The gestational week at delivery and birth weight were lower in the patients who were appendectomized (p=0.240; p=0.003). The patients with an interval less than two years between appendix removal and pregnancy had lower birth weight and gestational week at delivery compared to the remainders (p=0.003; p=0.068). Moreover, patients who experienced pelvic complaints had lower birth weight and gestational week at delivery compared to the ones who did not experience pelvic complaint, despite the lack of statistical significance (p=0.238; p=0.238). Additionally, further analysis regarding the autoimmune diseases revealed that the rates of autoimmune diseases were 2.5% (2/79) and 32.6% (17/52) in patients without a history of appendectomy and in those with appendix removal, respectively. Conclusions. The long-term complications of appendix removal, such as adhesions and peritoneal irritations, must be considered, especially in the antenatal care of the next pregnancies. Appendectomized pregnancies should be evaluated for the presence of immune system problems. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
33. Barrreiras na implementação da apendicectomia laparoscópica como tratamento de escolha para apendicite aguda: experiência de 15 anos em hospital terciário no Brasil
- Author
-
SERGIO HENRIQUE BASTOS DAMOUS, CARLOS AUGUSTO METIDIERI MENEGOZZO, MARCELO CRISTIANO ROCHA, FRANCISCO SALLES COLLET-E-SILVA, and EDIVALDO MASSAZO UTIYAMA
- Subjects
Laparoscopia ,Apêndice ,Medical Education ,Surgery ,Laparoscopy ,Appendicitis ,Apendicectomia ,Apendicite ,Laparoscopic Appendectomy ,Educação Médica - Abstract
Background: the barriers to implement emergency laparoscopy in public teaching hospitals involve issues such as resident learning curves and resource costs and availability. This study was designed to describe the issues facing the implementation of laparoscopic approach for acute appendicitis over 15 years in a single academic center in Brazil. Materials and Methods: retrospective study of patients undergoing emergency appendectomy from 2004 to 2018. Clinical data were compared to four major actions implemented in the emergency surgical service: minimally invasive surgery training for residents (2007), laparoscopic stump closure using metal clips (2008), 24/7 availability of laparoscopic instruments for emergency surgeries (2010), and third-party contract for maintenance of the laparoscopic instruments and implementation of polymeric clips for stump closure (2013). We evaluated the increase in laparoscopic appendectomy after the implementation of those major changes. Results: we identified 1168 appendectomies during the study period, of which 691 (59%), 465 (40%), and 12 (1%) were open, laparoscopic, and converted, respectively. The implementation of the major changes since 2004 resulted in an increase of laparoscopic appendectomies from 11% in 2007 to 80% in 2016. These actions were decisive in the widespread use of laparoscopy for acute appendicitis (p
- Published
- 2023
34. Reporte de Caso: Hernia de Amyand
- Author
-
Jacinto Noguera-Arzamendia, Amanda Fretes-Gomez, and Alejandro Caballero-Rodrigues
- Subjects
hernia de amyand ,apendice ,hernioplastia ,losanoff ,Medicine ,Surgery ,RD1-811 - Abstract
La hernia de Amyand constituye un raro tipo de herniación inguinal en la que su contenido es el apéndice vermiforme, siendo infrecuente encontrarnos con un apéndice inflamado en el interior del saco herniario, y excepcional realizar su diagnóstico preoperatorio, siendo pocos los casos descritos en la literatura. Dada la rareza del cuadro y la escasa bibliografía médica existente, resulta complicado unificar criterios sobre el manejo óptimo de esta patología. A pesar de esto, consideramos que la mejor opción es la reducción del apéndice al interior de la cavidad abdominal sin exéresis de este en los casos en los que no exista cuadro de apendicitis concomitante, junto con una reparación del defecto herniario según las técnicas habituales. Presentamos un caso de paciente de sexo masculino de 40 años de edad, sin patología de base, con diagnostico intraoperatorio de hernia de amyand, cuya resolución quirrugica fue reducción del apéndice a cavidad adbominal y correcion del defecto herniario con malla protésica.
- Published
- 2020
- Full Text
- View/download PDF
35. Tumor carcinoide del apéndice cecal. Presentación de un caso
- Author
-
Hanuarys Sosa Estébanez, Lumey Hernández Niebla, and Carlos Rodríguez Sosa
- Subjects
apéndice ,neoplasias del apéndice ,apendicitis ,apendicectomía ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Los tumores del apéndice cecal constituyen un grupo heterogéneo de neoplasias con evolución y pronóstico variables; representan una pequeña parte de todas las neoplasias gastrointestinales y de las apendicetomías. Se presenta el caso de un hombre blanco, de 55 años de edad, que ingresó en el Servicio de Cirugía por presentar un cuadro abdominal agudo, interpretado como una apendicitis aguda. Al realizar apendicectomía se obtuvo como resultado un tumor carcinoide tipo clásico (insular) del apéndice cecal, sin que se sospechara de este diagnóstico con anterioridad. Se decidió presentar este caso, debido a la poca frecuencia de su aparición. Se concluye que es importante en estos casos el estudio histopatológico, ya que, incluso en el transoperatorio, es muy difícil sospechar esta entidad, lo que conlleva al diagnóstico tardío y a un peor pronóstico.
- Published
- 2017
36. Apendicitis aguda perforada secundaria a cuerpo extraño: reporte de caso
- Author
-
Héctor Conrado Jiménez, Carlos Mauricio Martínez, David Andrés Maduro, Juan Camilo Gonzalez, and Cristian Suaza
- Subjects
apéndice ,apendicitis ,cuerpo extraño ,diagnóstico ,apendicectomía. ,Surgery ,RD1-811 - Abstract
Los casos de apendicitis aguda debida a cuerpos extraños es una condición muy rara, con una prevalencia de 0,0005 %, en la cual se observa un papel crucial de la obstrucción de la luz apendicular en el inicio de sintoma- tología. La mayoría de los cuerpos extraños que se ingieren son expulsados sin complicaciones y sin necesidad de intervención quirúrgica, observándose perforaciones en menos del 1 %. Se presenta el caso de un hombre de 25 años de edad con un cuadro clínico de apendicitis aguda que necesitaba de intervención quirúrgica, en la que se halló un cuerpo extraño (gancho ‘nodriza’), con perforación proximal apendicular y peritonitis localizada. Fecha de recibido: 12/04/2018 - Fecha aceptación: 29/06/2018
- Published
- 2019
- Full Text
- View/download PDF
37. Appendiceal tumor in young adult
- Author
-
Velser Isaac Olmedo-Valarezo, Gabriel Antonio Páez-Maldonado, Víctor Jonathan Vera-Franco, Alberto Anibal Nuques-Martínez, María José Vallejo-Collaguazo, Oliver Joel Toala-Mosquera, and Fabián Marcelo Zambrano-Palacios
- Subjects
tumor ,dolor abdominal ,apéndice ,abdominal pain ,General Medicine ,pérdida de peso ,weight loss ,appendix - Abstract
RESUMEN El tumor apendicular es raro, normalmente se descubre durante una apendicectomía. Este es el caso de un varón de 21 años que ingresa por dolor abdominal, acompañado de vómitos, alza térmica y pérdida de peso. En paraclínicos hematocrito: 30,7%, hemoglobina: 10,1g/dl. Evaluado por Cirugía General, intervienen por cuadro de apendicitis aguda; los hallazgos quirúrgicos son lesiones granulomatosas, apéndice congestivo con tumoración. Se toma biopsia que revela neoplasia epitelial maligna consistente con adenocarcinoma. El paciente es dado de alta con buen pronóstico. ABSTRACT The appendiceal tumor is a rare entity; it is usually discovered during appendectomy. This is the case of a 21-year-old man admitted due to abdominal pain accompanied by vomiting, high fever, and weight loss. Paraclinical lab test results: hematocrit, 30.7%; hemoglobin, 10.1g/dl. He is examined by the General Surgery unit, and underwent surgery due to clinical signs of acute appendicitis. The surgical findings are granulomatous lesions, and congestive appendix with tumor. The biopsy performed reveals the presence of malignant epithelial neoplasm consistent with adenocarcinoma. He is eventually discharged from the hospital with good prognosis.
- Published
- 2023
38. Apêndices do Relatório sobre a cobertura da capacitação ofertadas
- Author
-
Adriana Valéria Santos Diniz and Maria Aparecida Nunes Pereira
- Subjects
Apêndice ,Relatório ,Capacitações ,PDDE - Abstract
Este relatório objetiva apresentar os resultados da cobertura das capacitações ofertadas pelo CECAMPE-NE, a partir da avaliação das atividades realizadas no âmbito das capacitações presenciais e à distância, aos agentes técnicos, gestores estaduais e municipais, gestores escolares e representantes das UEx's, envolvendo a gestão do PDDE e Ações Integradas, PNATE/Caminho da Escola. A metodologia utilizada envolveu o desenvolvimento e aplicação de questionários com cursistas que participaram das ações de capacitação e o processo de análise de dados envolveu a estatística descritiva. A cobertura da capacitação envolveu a realização de 19 edições de cursos, que subsidiaram a elaboração de 23 relatórios. Conclui-se que os eventos ofertados pelo Eixo de Assistência Técnica alcançaram níveis bons e ótimos de qualidade segundo a percepção dos cursistas que responderam aos questionários, além de promover impacto nos níveis de conhecimento dos cursistas que participaram dos cursos de capacitação à distância. Os resultados revelam que a capacitação é uma das estratégias mais relevantes para a melhoria da qualidade da gestão dos recursos do PDDE, PDDE Ações Integradas, PNATE e Caminho da Escola, como também propulsora para o desenvolvimento de boas práticas de gestão.
- Published
- 2023
- Full Text
- View/download PDF
39. Morphologic criteria of vermiform appendix on computed tomography and a possible risk of developing acute appendicitis.
- Author
-
Chambi Tames, Amanda, Yamauchi, Fernando Ide, do Amaral e Castro, Adham, de Mello Amoedo, Caroline Duarte, Fernando Cardoso, Ellison, Hueb Baroni, Ronaldo, and Tachibana, Adriano
- Subjects
- *
APPENDICITIS , *APPENDIX (Anatomy) , *COMPUTED tomography , *MULTIDETECTOR computed tomography - Abstract
Objective: To evaluate the correlation of morphological criteria of the cecal appendix using computed tomography (CT) and the possible risk of developing acute appendicitis. Materials and Methods: Cases were defined as patients with surgically confirmed acute appendicitis who had undergone CT at least twice: at diagnosis and at least one month prior. Controls were defined as emergency patients with abdominal pain who had undergone abdominal CT that excluded acute appendicitis and had also undergone CT at least one month before. Results: 100 cases and 100 controls were selected for inclusion in the final analysis. Comparisons between the cases and controls revealed the following: mean transverse diameter of 0.6 cm (range, 0.4-1.0 cm) versus 0.6 cm (range, 0.6-0.8 cm; p = 0.37); mean length of 6.6 cm (range, 3.5-9.7 cm) versus 6.6 cm (range, 4.5-8.3 cm; p = 0.87); mean angle of 100° (range, 23-178°) versus 86° (range, 43-160°; p = 0.01); vertical descending orientation in 56% versus 45% (p = 0.2); absence of gas in 69% versus 77% (p = 0.34); and presence of an appendicolith in 17% versus 8% (p = 0.08). Conclusion: Hypothetical risk factors for obstruction of the vermiform appendix detected on CT were not associated with acute appendicitis. That suggests that factors other than those related to mechanical obstruction are implicated in the pathogenesis of acute appendicitis. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
40. Appendiceal neuroma
- Author
-
Isnay Arbelo Hernández, Yuleiny Pérez Santana, and Abraham Dimas Reyes Pérez
- Subjects
neuroma ,apéndice ,Medicine - Abstract
The appendicular tumors have a low incidence ranging between 0.2% and 0.5% of all gastrointestinal malignancies. The appendicular neuroma is a benign tumor that is characterized to be a secondary fusocelular reparative process to ulcer and inflammation of the mucosa and pathogenetically similar to neural repairs observed in other parts of the digestive system. A male patient of 21 years old with an appendicular neuroma who was operated on and evolved without complications.
- Published
- 2016
41. Características epidemiológicas-clínicas y resultados del manejo de plastrón apendicular en pacientes adultos de un hospital de referencia del Perú
- Author
-
Delgado Garro, Aaron Milton, Cehua Alvarez, Efrain Antonio, Virú Flores, Horus Michael, Roque Quezada, Juan Carlos, Valdiglesias Ochoa, Diana Jennifer, Nieves Cordova, Luis Enrique, and Quezada Gómez, Gabriela
- Subjects
DeCS BIREME) [Evaluación de resultados de intervenciones terapéuticas. (Fuente] ,Apendicitis ,Apéndice ,MeSH NLM) [Evaluation of results of therapeutic interventions. (Source] ,Appendix ,Appendicitis - Abstract
RESUMEN Introducción: El plastrón apendicular se considera una forma progresiva de apendicitis aguda, teniendo una prevalencia a nivel nacional de 2-10%. Actualmente el manejo suele ser controversial. Ante lo expuesto, se busca promover estudios que puedan dilucidar las variables asociadas al manejo de esta condición. Objetivo: determinar las características epidemiológico-clínicas asociadas a los resultados del manejo del plastrón apendicular en pacientes adultos en un hospital de referencia del Perú. Métodos: Estudio no experimental, de enfoque cuantitativo, diseño observacional, analítico y transversal, cuya muestra estuvo conformada por 100 pacientes con diagnóstico de plastrón apendicular. Se aplicó como instrumento la ficha de recolección de datos. Asimismo, se utilizó un modelo de regresión de Poisson para responder a los objetivos. Resultados: El análisis multivariado evidenció que el consumo de alcohol (p
- Published
- 2023
42. Neoplasia quística del apéndice. Reporte de un caso clínico inusual en el Hospital Central Sur de Alta Especialidad PEMEX.
- Author
-
Chama-Naranjo, Alfredo, Chávez-Villanueva, Ulises, and Farell-Rivas, Jorge
- Abstract
Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
43. Unusual presentation of appendiceal mucocele
- Author
-
Juan Alberto Moré Cabrera, Segundo Pablo León Aulla, and Gustavo A. Pérez Zavala
- Subjects
mucocele ,apéndice ,Medicine - Abstract
A patient of 49 years old of white skin is presented with a history of presenting a mass at the level of the umbilical region that spontaneously reduced by adopting the supine decubitus position; in recent weeks, this mass was irreducible and was accompanied by abdominal discomfort. Days before admission the abdominal pain became more intense and radiated the hypogastrium and both iliac fossa and was accompanied by vomiting, so he went to the guard department and was taken to the surgical room with the diagnosis of jammed umbilical hernia. In the surgery an output of content turbid was detected by the hernial orifice, cavity was explored and agrossly enlarged toward its tip with Appendiceal inflammatory reaction is found; the pathology report informed cecal appendix mucocele.
- Published
- 2015
44. Deciduosis of the appendix: a case report
- Author
-
Putu Erika Paskarani, Ni Putu Ekawati, Tanaka Tanaka, and Ni Gusti Ayu Agung Manik Yuniawaty Wetan
- Subjects
Apêndice ,Deciduose ,Gravidez ,Deciduosis ,General Earth and Planetary Sciences ,Apéndice ,El embarazo ,Pregnancy ,Appendix ,General Environmental Science - Abstract
Introduction: Ectopic deciduosis refers to decidual tissue outside the uterus. Ectopic decidua appears on the surface of the female reproductive organs and peritoneum; however, rare cases can be found in the appendix, lymph nodes, lungs, kidneys, and skin. Deciduosis is a benign condition that usually does not cause any symptoms and resolves spontaneously 4-6 weeks after delivery. However, an ectopic decidua involving the appendix wall often causes appendicitis and presents with acute abdominal signs. Methodology: The descriptive study of the case report type and the data obtained from the patient's medical record. Case presentation: This paper reports a woman aged 29 years with complaints of abdominal pain, like being stabbed in the pit of the stomach and then to the lower right abdomen for two days. A physical examination revealed tenderness in the lower abdomen with a positive McBurney sign. At that time, the patient was pregnant with a gestational age of 20-21 weeks. The patient underwent an appendectomy with the tissue sent to the anatomic pathology laboratory with the presence of decidual cells in the subserous layer and serous fat, and it was concluded as deciduosis of the appendix. Conclusion: Based on clinical and laboratory findings, the patient was diagnosed with deciduosis of the appendix. Introducción: La deciduosis ectópica se refiere al tejido decidual fuera del útero. La decidua ectópica aparece en la superficie de los órganos reproductores femeninos y el peritoneo; sin embargo, se pueden encontrar casos raros en el apéndice, los ganglios linfáticos, los pulmones, los riñones y la piel. La deciduosis es una condición benigna que generalmente no causa ningún síntoma y se resuelve espontáneamente de 4 a 6 semanas después del parto. Sin embargo, una decidua ectópica que afecta la pared del apéndice a menudo causa apendicitis y se presenta con signos abdominales agudos. Metodología: Estudio descriptivo del tipo caso clínico y de los datos obtenidos de la historia clínica del paciente. Presentación de caso: Este artículo reporta una mujer de 29 años de edad con quejas de dolor abdominal, como ser apuñalado en la boca del estómago y luego en el abdomen inferior derecho por dos días. Un examen físico reveló dolor a la palpación en la parte inferior del abdomen con un signo de McBurney positivo. En ese momento, la paciente estaba embarazada con una edad gestacional de 20-21 semanas. Al paciente se le realizó apendicectomía con tejido enviado al laboratorio de anatomía patológica con presencia de células deciduales en la capa subserosa y grasa serosa, y se concluyó como deciduosis del apéndice. Conclusión: Con base en los hallazgos clínicos y de laboratorio, la paciente fue diagnosticada con deciduosis del apéndice. Introdução: A deciduose ectópica refere-se ao tecido decidual fora do útero. A decídua ectópica aparece na superfície dos órgãos reprodutivos femininos e do peritônio; no entanto, casos raros podem ser encontrados no apêndice, linfonodos, pulmões, rins e pele. A deciduose é uma condição benigna que geralmente não causa sintomas e se resolve espontaneamente 4-6 semanas após o parto. No entanto, uma decídua ectópica envolvendo a parede do apêndice geralmente causa apendicite e apresenta sinais abdominais agudos. Metodologia: O estudo descritivo do tipo relato de caso e os dados obtidos do prontuário do paciente. Apresentação do caso: Este trabalho relata uma mulher de 29 anos com queixas de dor abdominal, como ser esfaqueada na boca do estômago e depois no abdome inferior direito por dois dias. O exame físico revelou sensibilidade no abdome inferior com sinal de McBurney positivo. Naquela época, a paciente estava grávida com idade gestacional de 20-21 semanas. A paciente foi submetida a apendicectomia com o tecido enviado ao laboratório de anatomopatologia com presença de células deciduais na camada subserosa e gordura serosa, concluindo-se como deciduose do apêndice. Conclusão: Com base nos achados clínicos e laboratoriais, o paciente foi diagnosticado com deciduose do apêndice.
- Published
- 2022
45. Cáncer de Apéndice: Revisión Bibliográfica
- Author
-
Sofía Madrigal Jiménez and Giovanny Herrera Mora
- Subjects
Cáncer ,apéndice ,mucocele ,masa apendicular ,adenocarcinoma ,carcinoide ,Medicine - Abstract
El cáncer de apéndice es una entidad patológica poco común, donde la mayoría de diagnósticos se derivan de un hallazgo incidental post apendectomías. Debido a ser poco conocida, el tratamiento prevalece controversial. Desde el año 2000 se ha visto un aumento de la incidencia, por lo cual es una patología de importancia para estudio según tendencias de su comporta-miento.
- Published
- 2018
- Full Text
- View/download PDF
46. Tumor carcinoide de células caliciformes apendicular con metástasis endometrial
- Author
-
Torres-Cepeda, Duly, Rondon-Tapia, Martha, and Reyna-Villasmil, Eduardo
- Subjects
Endometrium ,Endometrio ,Goblet cell carcinoid tumor ,Apéndice ,Tumor carcinoide de células caliciformes ,Appendix ,Neoplastic metastasis ,Metástasis neoplásica - Abstract
RESUMEN El tumor carcinoide de células caliciformes es una neoplasia mixta casi exclusiva del apéndice, con diferenciación neuroendocrina y mucinosa. La afección metastásica endometrial por carcinomas extragenitales, especialmente el tipo de células de anillo de sello, es rara. Se presenta un caso de tumor carcinoide de células caliciformes apendicular con metástasis endometrial. Se trató de paciente femenina de 70 años quien presentó sangrado genital. El examen ginecológico mostró sangrado genital en moderada cantidad de color rojo-marrón y cuello uterino endurecido. En la biopsia endometrial se halló nidos de células de anillo de sello. La impresión diagnóstica provisional fue carcinoma mal diferenciado de probable origen intestinal. Durante la intervención, el útero tenía consistencia pétrea, el apéndice cecal era fibrótico y engrosado y el epiplón engrosado con nódulos tumorales. Las secciones anatómicas del cuello y cuerpo uterino mostraron focos tumorales. En el apéndice cecal se encontró acúmulos de pequeño tamaño compuestos por células caliciformes. La inmunotinción fue positiva a sinaptofisina, CDX-2, EMA, CK20, CD56 focal. Estos hallazgos confirmaron el diagnóstico de tumor carcinoide de células caliciformes, un tumor caracterizado por infiltración de la pared apendicular por pequeños nidos o cordones de células caliciformes con mucina intracitoplasmática y expresión focal de marcadores neuroendocrinos. Estas neoplasias tienen un comportamiento más agresivo que los tumores neuroendocrinos. La metástasis endometrial es rara y puede ser confundida con un carcinoma primario de células de anillo de sello. Se debe considerar como diagnóstico diferencial después de excluir otros tumores primarios. ABSTRACT Goblet cell carcinoid tumor is an almost exclusive mixed neoplasm of the appendix with neuroendocrine and mucinous differentiation. Endometrial metastatic involvement by extragenital carcinomas, especially the signet ring cell type, is rare. A case of appendiceal goblet cell carcinoid tumor with endometrial metastasis is presented. This was a 70-year-old female patient who presented with genital bleeding. The gynecological examination showed moderate red-brown genital bleeding and hardened cervix. Endometrial biopsy reported nests of signet ring cells. The provisional diagnostic impression was poorly differentiated carcinoma of probable intestinal origin. During surgery, the uterus had a stony consistency, the cecal appendix was fibrotic and thickened, and the omentum was thickened with tumor nodules. Anatomical sections of the cervix and uterine body showed tumor foci. In the cecal appendix, small clusters composed of goblet cells were found. Immunostaining was positive for synaptophysin, CDX-2, EMA, CK20, focal CD56. These findings confirmed the diagnosis of goblet cell carcinoid tumor, a tumor characterized by infiltration of the appendiceal wall by small nests or cords of goblet cells with intracytoplasmic mucin and focal expression of neuroendocrine markers. These neoplasms have a more aggressive behavior than neuroendocrine tumors. Endometrial metastasis is rare and can be mistaken for a primary signet ring cell carcinoma. It should be considered as a differential diagnosis after other primary tumors have been excluded.
- Published
- 2022
47. Solitary Peutz-Jeghers Type Hamartomatous Polyp Arising from the Appendix
- Author
-
Mariana Sant’Anna, Elisa Gravito-Soares, Marta Gravito-Soares, Sofia Mendes, and Pedro Narra Figueiredo
- Subjects
Apêndice ,Hamartoma ,Gastroenterology ,General Earth and Planetary Sciences ,Endoscopy ,Endoscopia ,Appendix ,Pólipo Hamartomatoso ,General Environmental Science - Published
- 2022
48. Primary Adenocarcinoma of the Vermiform Appendix. A Case Report
- Author
-
Luis Antonio Revuelta Pérez, Lidia Torres Aja, and Arístides Sánchez Sánchez
- Subjects
apéndice ,adenocarcinoma ,neoplasias del ciego ,Internal medicine ,RC31-1245 ,Special situations and conditions ,RC952-1245 - Abstract
Primary adenocarcinoma of the vermiform appendix is the least common carcinoma of this organ; its exact frequency is unknown. Primary malignant tumors of the appendix are rare; they are generally found in 1 to 2% of all appendices examined. Most appendiceal malignancies arise from a primary tumor in the adjacent organs, and in some cases, may be metastases from distant tumors. The case of a 43-year-old patient with a history of emergency surgery who was presumptively diagnosed with acute appendicitis is presented. The presence of an adenocarcinoma at the base of the appendix was reported by the pathology department. Because of the rarity of the condition, the publication of this case is considered scientifically important.
- Published
- 2014
49. Mucocele apendicular
- Author
-
Villalobos Romero, Brenda, Ching Chacón, Allan, Jiménez Vargas, María Fernanda, Villalobos Romero, Brenda, Ching Chacón, Allan, and Jiménez Vargas, María Fernanda
- Abstract
Appendicular mucocele is defined as a cystic dilatation of the appendicular lumen whose etiology is obstructive and produces a retrograde accumulation of mucoid substance. It is an infrequent pathology, which is why it is an incidental finding in most cases. It can be divided into four histological subtypes, the most common is the mucinous cystadenoma. Pain in the right iliac fossa, nausea, vomiting, changes in intestinal habit and gastrointestinal bleeding are some of the symptoms that carriers of this pathology may present, however, the majority are asymptomatic. Imaging studies and clinical findings guide its diagnosis, and these tests are extremely important for the prevention of intraoperative complications, including peritoneal pseudomyxoma, and for the design of the surgical approach, which is the definitive treatment for this pathology., El mucocele apendicular se define como una dilatación quística de la luz apendicular cuya etiología es obstructiva y produce un acúmulo retrógrado de sustancia mucoide. Es una patología poco frecuente, por lo cual es un hallazgo incidental en la mayoría de los casos. Este se puede dividir en cuatro subtipos histológicos, el cual el más común es el cistoadenoma mucinoso. El dolor en fosa iliaca derecha, náuseas, vómitos, cambios en hábito intestinal y sangrado gastrointestinal constituyen algunos de los síntomas que pueden presentar los portadores de esta patología, sin embargo, la gran mayoría son asintomáticos. Los estudios de imagen y la clínica son orientadores a su diagnóstico, estas pruebas son de suma importancia para la prevención de complicaciones intraoperatorias entre ellas el pseudomixoma peritoneal y diseñar el abordaje quirúrgico que es el tratamiento definitivo para esta patología.
- Published
- 2022
50. Frecuencia y características asociadas de apendicitis aguda en extremos de la vida (menores de 14 años y mayores de 65) en el Hospital José Carrasco Arteaga. Cuenca. Enero 2018 - enero 2020
- Author
-
Ortiz Calle, Juan Carlos, Abril Idrovo, Paola Carolina, Jiménez Araujo, Ana Magdalena, Ortiz Calle, Juan Carlos, Abril Idrovo, Paola Carolina, and Jiménez Araujo, Ana Magdalena
- Abstract
Introduction: Acute appendicitis is an important cause of acute surgical abdomen with significant morbidity and mortality worldwide, especially in kids and elderly who have hinder in diagnostic. Objective: To determine the frequency and identify the associated characteristics of acute appendicitis in ≤14 years old and ≥ 65 years old, at José Carrasco Arteaga Hospital. January 2018- January 2020. Methods and materials: A descriptive study with medical records of patients who meet the inclusion criteria. The data collected was analyzed with SPSS, the results were presented in dynamic tables. Results: We had 227 medical charts, 162 were patients ≤14 years old, 51.62% women; and 65 were patients ≥ 65 years old, 52.31% men. 100% presented abdominal pain and had surgery. In ≤14 years old, we found nausea in 83.95% p<0.05, fever in 56.75%, McBurney in 93,82% p<0.05, US was used in 158 children, and presented 126 alterations. We observed leukocytosis, neutrophilia, and PCR <0.05 in more than 70%, in both groups; the main surgical finding was appendicular obstruction 44.44% p<0.05. In ≥ 65 years old we had migratory pain in 44,61% and McBurney in 76.92% p<0.05, US was performed in 59, 46 with alterations, and CT in 9, all with alterations p<0.05, the main surgical finding were appendicular obstruction and peritonitis in 27,69% p<0.05. Conclusions: It was determined abdominal pain as an invariable symptom and all required surgical resolution. Nausea, vomiting, anorexia, McBurney, PCR and the use of CT were statistically significant. The main surgical findings were appendicular obstruction and peritonitis.
- Published
- 2022
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.