Occhionorelli Savino, Tartarini Daniela, Pascale Giovanni, Maccatrozzo Stefano, Stano Rocco, Vasquez Giorgio
Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, via Luigi Borsari 46, 44121, Ferrara, Italy.
Department of Surgery, Emergency Surgery Service, Arcispedale Sant'Anna, via Aldo Moro 8, Cona, 44124, Ferrara, Italy.
J Med Case Rep. 2016 Feb 27;10:44. doi: 10.1186/s13256-016-0826-6.
Benign multicystic mesothelioma is a rare pathology. Few cases are reported in the medical literature and acute presentation is extremely uncommon.
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.
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.
良性多囊性间皮瘤是一种罕见的病理学疾病。医学文献中报道的病例很少，急性表现极为罕见。
我们描述了一名41岁白人男性肿瘤的急性临床表现，其表现为可归因于急性阑尾炎的体征和症状。腹部超声和计算机断层扫描显示在盲肠底部直接相邻处有一个肿块，但诊断仍不明确。我们的患者接受了手术并完全切除了肿瘤。只有明确的组织学检查才能确定病变的性质。术后1年未显示复发迹象。
我们表明，良性肿瘤的急性表现对外科医生来说是一个诊断和治疗挑战，因为急性表现有时会带来困难的鉴别诊断，以及急诊治疗可能带来的麻烦。
