4 research outputs found
A case report of appendiceal adenoma - a rare entity
Appendiceal neoplasms are quite uncommon. They are detected in fewer than 0.5 percent of
appendectomies and less than 0.5 percent of all gastrointestinal neoplasms. Similar to a colonic adenoma,
an appendiceal adenoma is neoplasm with precancerous nature. A rare case of appendiceal adenoma is
presented here in a 65-year-old female patient, incidentally discovered at the orifice of the appendix, during
the screening analysis. The patient felt well. Abdominal examination and laboratory analysis were regular.
Due to the inaccessibility of the lesion by colonoscopy, surgical treatment was recommended. A
laparoscopic appendectomy was performed. On pathological examination, diagnosis of tubulovillous
adenoma was performed. Endoscopic screening analysis of precancerous appendiceal neoplasm is very
important. The method of choice for any appendiceal neoplasm is surgical removal i.e. appendectomy,
preferably with a clean caecal margin, which requires stapling of the cecum. Early detection can prevent
complications and decrease the risk of consequential appendiceal or colorectal carcinoma
A rare case of giant cavernous splenic haemangioma
Introduction: Tumors of spleen are generally rare disorders. The most common primary splenic
neoplasm is haemangioma, although very rare. Giant, cavernous splenic haemangioma is extremely rare,
less than 100 cases have been reported in the literature.
Case report: We present a case of giant haemangioma in a 65 years-old patient. Radiological diagnostic
methods were not conclusive. Magnetic resonance imaging showed en expansive, heterogenous lesion with
signs of necrosis and haemorrhage in the central part. Those characteristics raised suspicion in malignant
neoplasm, especially haemangiosarcoma and metastatic neoplasm. The surgical team performed total
splenectomy, with special attention to possible bleeding as a severe complication. Pathohistological finding
was undoubted. There were certain signs of benign, cavernous splenic haemangioma with areas of
coagulative necrosis.
Conclusion: We need to be aware of such rare entity. MRI is the most reliable diagnostic method, but the
pathohistological analysis is definitive. Surgery is a treatment of choice
First encounter of extrapulmonary-gastrointestinal manifestation of SARS-CoV- 2 in a CoV+ patient in Cantonal Hospital Zenica
The Covid-19 pandemic has suddenly spread around the world and presented primarily with symptoms common for respiratory diseases. Over time, It has been noticed that Covid 19 patients increasingly develop serious extrapulmonary complications as we will show in our case
Tissue Reaction to Absorbable Endoloop, Nonabsorbable Titanium Staples, and Polymer Hem-o-lok Clip After Laparoscopic Appendectomy
The mildest inflammatory changes postoperatively were found in the staple group followed by those in the Hem-O-Lok group