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输卵管切除术和痔切除术标本中的偶然发现的血管瘤:两例报告

Incidental Hemangioma in Tubectomy and Hemorrhoidectomy Specimens: A Report of Two Cases.

作者信息

Jawalkar Sneha, Jacob Kezia A, Patil Vijayalaxmi S

机构信息

Pathology and Laboratory Medicine, Shri B M Patil Medical College, Hospital and Research Centre, Bijapur Lingayat District Educational (BLDE) (Deemed to be University), Vijayapura, IND.

Pathology, Shri B M Patil Medical College, Hospital and Research Centre, Bijapur Lingayat District Educational (BLDE) (Deemed to be University), Vijayapura, IND.

出版信息

Cureus. 2024 Jul 12;16(7):e64390. doi: 10.7759/cureus.64390. eCollection 2024 Jul.

Abstract

Benign vascular neoplasms, or hemangiomas, can develop anywhere in the body.As they are usually asymptomatic, they are discovered incidentally while evaluating other coexisting diseases or conditions. We herein report two cases of capillary hemangioma at two extremely rare sites. A woman in her early 30s with a history of nine months of amenorrhea came for safe confinement and underwent an elective lower segment cesarean section (LSCS) with bilateral concurrent tubectomy. Another case involved a man in his 40s who presented with bleeding per rectum for three months. Per rectal examination, two purplish red masses were noted at the 3 and 11 o'clock positions, which were noncompressible and did not bleed on touch. Subsequently, a hemorrhoidectomy was performed. A well-defined vascular lesion in the fallopian tube and hemorrhoidal tissue were seen during the histopathological examination, which was compatible with a capillary hemangioma. The vascular endothelium was emphasized by immunostaining with CD34.Due to the potential for these lesions to manifest as surgical emergencies, it is imperative for surgeons to recognize and appropriately manage such presentations.

摘要

良性血管肿瘤,即血管瘤,可发生于身体的任何部位。由于它们通常无症状,所以在评估其他并存疾病或状况时被偶然发现。我们在此报告两例发生在两个极其罕见部位的毛细血管瘤病例。一名30岁出头的女性,有9个月闭经史,前来进行安全分娩,并接受了选择性下段剖宫产术(LSCS)及双侧同期输卵管切除术。另一例是一名40多岁的男性,出现直肠出血3个月。经直肠检查,在3点和11点位置发现两个紫红色肿物,不可压缩,触诊不出血。随后进行了痔切除术。组织病理学检查可见输卵管和痔组织中有边界清晰的血管病变,符合毛细血管瘤。通过CD34免疫染色突出显示了血管内皮。由于这些病变有可能表现为外科急症,外科医生必须认识并妥善处理此类情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6793/11317121/ed6deb712a26/cureus-0016-00000064390-i01.jpg

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