![]() ![]() The patient had a stable recovery, and she was discharged a few hours later.Īppendiceal neuroma, also referred to as neurogenic hyperplasia, was thoroughly described by Masson over 50 years ago. The final diagnosis was appendiceal neuroma. Most of these cells were positive for S-100 protein ( Fig. The lumen of the appendix's tip was obliterated by a proliferation of spindle cells with wavy nuclei arranged in bundles ( Fig. 2A) with infiltration of polynuclear cells ( Fig. Microscopic examination of the H&E-stained sections showed mild crypt hyperplasia in the appendix's base ( Fig. The external surface of the appendix was grey-white with congested blood vessels, and the lumen of the distal part was absent in serial sections ( Fig. ![]() The specimen was sent to the pathology department. A diagnosis of acute appendicitis was made, and an appendectomy was performed. An abdominal ultrasound showed a dilated vermiform appendix in the right lower fossa with a peri-appendiceal fluid collection. Other routine blood values were within normal limits. Laboratory tests showed white blood cells (6000 mm 3) with neutrophilia (79 %). She had no history of ganglioneuromatosis, neurofibromatosis, or MEN 2B syndrome. The patient was a non-smoker and non-alcoholic. The physical examination revealed localized tenderness by palpation at the right iliac fossa with evidence of rebound. The different incidence in the pathologic findings at both places may suggest that patients at the CHPR have a delayed request of medical attendance.A 76-year-old woman patient presented to the emergency department at Tishreen University Hospital in 2022 with right lower quadrant abdominal severe pain for 4 days. Early lessions of appendicitis are better recognized and what is most important, carcinoid tumors located outside the tip can be diagnosed. Conclusions: the longitudinal method of studying the cecal appendix allows a better recognition of many lessions that might otherwise be overlooked. The CHPR cases had less normals and early lesions than the private place, as well as more cases with periappendicitis. 21 cases of carcinoid tumors were found most of them located at the middle third of the organ, with a median size of 7 mm almost all the cases had concomitant appendicitis and most of the patients were adolescent females. Parasites (mainly enterobius vermicularis) where found in 7% of the cases studied in the late years. 7 cases were fibrous obliteration of the lumen. 11 cases were undetermined granulomatous appendicitis. 1.519 were normal specimens 1.317 were early appendicitis 502 were diffuse appendicitis without priappendiceal inflammation and finally 7.047 were appendicitis with transmural inflammation and periappendicitis. Results: a total number of 10.424 cecal appendices were gathered 6705 from CHPR and 3.719 from the private laboratory. The specimens were longitudinally sectioned after formalin fixation and the whole longitudinal cut surface was embedded for histological examination. Methods: all cecal appendices were studied by the authors and the same method was applied. ![]() 2) To compare the results in both places. Objectives: 1)To review the pathologic findings in pediatric cecal appendix specimens studied in a 20 years period (1983-2003) at the Pereira Rossell Hospital (CHPR) and also at a private laboratory in the same period. ![]() Enfermedades del apéndice cecal: Revisión de 10.424 casos en un período de 20 años. ![]()
0 Comments
Leave a Reply. |