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Ascitis exploration

Rania Abdallah Abdallah, Asmaa Gaber Abdou, Nancy Yousef Asaad, Dalia Rifaat Al-Sharaky, Alshimaa Mahmoud Alhanafy
Splenic angiosarcomas are usually secondary tumours, and only few primary cases have been encountered. We report a unique primary case of epithelioid angiosarcoma arising in the spleen in a male patient 55-year-old and presented to our hospital as a medical emergency with acute abdomen and haemorrhagic ascitis. CT revealed splenic focal lesion and suggested that this abdominal haemorrhage was due to ruptured splenic haemangioma, thus abdominal exploration and splenectomy were done. The histopathological examination showed an infiltrating ill-defined growth formed of high grade epithelioid cells arranged in sheet-like growth pattern, with occasional papillary appearance...
January 2016: Journal of Clinical and Diagnostic Research: JCDR
A Habib, S Khatun
Krukenberg tumor (KT) is a metastatic signet-ring adenocarcinoma of the ovary with variants of gastro-intestinal primary either detected synchronously or metachronously. Here two cases of Krukenberg tumor are reported with detected primary sites, one arising from the stomach and the second from the pancreas. The first case, a 35 year old multiparous woman with a past history of endoscopically proven gastric ulcer was diagnosed as a case of advanced gastric carcinoma with concomitant right adnexal mass. Endoscopic biopsy from the gastric growth revealed adenocarcimona (signet ring variety)...
April 2012: Mymensingh Medical Journal: MMJ
Margarida Ferreira, Amílcar F Silva, Manuela Meruje, Diogo Cabrita, Ana Figueiredo
The Sclerosing Mesenteritis is a rare idiopathic disease. It represents the final stadium of progression of the chronic inflammatory illnesses of the intestinal mesentery, with predominance of fibrosis. The clinical manifestations are varied and unspecific. Diagnosis, that demands high degree of suspicion, can be presumed for imaging study, that discloses heterogeneous mass with tumor-like appearance, and confirmed on the basis of anatomo-pathological examination. The treatment is empirical and the prognostic is habitually favourable, over all in initial stadiums of the illness, being in a minority fatal...
November 2009: Acta Médica Portuguesa
Heykal Bedioui, Rachid Ksantini, Kaies Nouira, Amina Mekni, Amine Daghfous, Faouzi Chebbi, Wael Rebai, Fadhel Fteriche, Mohamed Jouini, Montasser Kacem, Nabil Ben Mami, Azza Filali, Zoubeir Bensafta
PURPOSE: Peritoneal tuberculosis and carcinomatosis are the most frequent etiologies of exsudative ascitis and require rapid diagnosis and treatment. The purpose of this study has been to evaluate the predictive value of clinical and complementary data for the etiologic diagnosis of exsudative ascites and to assess the results of laparoscopic surgery. MATERIAL AND METHODS: We report a prospective long-term study conducted over 10 years, having included all cases of exsudative ascites of unidentified etiology...
December 2007: Gastroentérologie Clinique et Biologique
J M Kasia, E Verspyck, G Le Bouëdec, C Struder, D Bourgeois, D Wendum, J Dauplat, M A Bruhat, J Milliez
We report 6 cases of tuberculous peritonitis, focusing on the contribution of laparoscopic exploration. The initial diagnosis was erroneus in all cases: the polymorphous clinical presentations suggested another infectious disease or cancer disease. Laparoscopy was performed in 5 patients who had ascitis and in 1 with plastic peritonitis. At laparoscopy, the peritoneum showed miliary granulations and inflammatory adherences on the visceral or parietal sheats. Bacteriological analyses of the ascitic fluid were positive in only one case...
1997: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
J C Zavala, H Vildósola, F Montes, S Zamudio
A patient presenting chylous ascitis due to an epithelial originated malignancy is reported. The primary focus of the malignancy could not be precise in spite of all diagnoses procedures available including explorer laparatomy. As this is a very unusual occurrence in the clinical practice, a review of reported literature has been made on ethological, physiopathological and therapeutical aspects.
1993: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
P Zandi, Y Panis, D Debray, O Bernard, D Houssin
Langerhans' cell histiocytosis (LCH) represents 15% to 20% of sclerosing cholangitis (SC) in children. In LCH-associated SC, a very poor response to chemotherapy has been reported, and spontaneous prognosis is very bad. Few cases of orthotopic liver transplantation (OLT) for LCH have been reported and little is known about the risk of recurrence and the effect of immunosuppression after OLT. Since 1986, five children (mean age +/- SD, 12.6 +/- 3.6 years) underwent OLT for SC complicating LCH. All patients presented with growth retardation, and severe liver disease including repeated episodes of variceal bleeding (n = 5), liver insufficiency (n = 4), jaundice (n = 5), and ascitis (n = 4)...
January 1995: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
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