A 50-year-old female complained of a painless abdominal distension. Histopathologic examination after cystectomy showed a primary poorly differentiated retroperitoneal mucinous cystadenocarcinoma with a sarcoma-like mural nodule. The patient subsequently underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy, appendectomy, omentectomy and lymphadenectomy. Adjuvant chemotherapy consisted of 6 times carboplatin (AUC 7) in monotherapy (every 4 weeks). Based on 49 cases of primary retroperitoneal mucinous cystadenocarcinoma, we discuss the histogenesis and we define the appropriate treatment.
Background:A 70-year-old man was referred to our hospital with increasing pain and tenderness over a pre-existing right inguinal hernia, which had been present for the past 12 years. On clinical examination, there was an irreducible inguinal bulge and a tender palpable mass at the right groin. Laboratory results revealed a normal leukocytosis (6.800/mm 3 ) and a normal CRP of 0.1 mg/dl. CT scan was performed, followed by appendectomy during 'routine' inguinal herniorraphy.
Spontaneous cholecystocutaneous abscesses or fistulae are rare complications of neglected biliary calculous disease which have become extremely rare during the last decades. We report a case of spontaneous cholecystocutaneous abscess in a 69-year-old male who presented with a mass in the right subcostal region. The diagnosis was made by CT scan with multiplanar reformating. Treatment consisted of incision and drainage of the abdominal wall abscess followed by cholecystectomy in a one-stage protocol.
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