Solitary pancreatic tuberculous abscess mimicking pancreatic cystadenocarcinoma: a case report

BACKGROUND: The incidence of pancreatic tuberculosis is extremely rare, and it frequently misdiagnosed as pancreatic neoplasms. The nonsurgical diagnosis of this entity continues to be a challenge. CASE PRESENTATION: A 33 year old male with six-month history of intermittent right epigastric vague pain and weight lost had found a solitary pancreatic cystic mass and diagnosed as pancreatic cystadenocarcinoma. The chest X-ray film and physical examination revealed no abnormalities. Abdominal ultrasound (US) examination showed an irregular hypoechoic lesion of 6.6 cm × 4.4 cm in the head of pancreas, and color Doppler flow imaging did not demonstrate blood stream in the mass. The attempts to obtain pathological evidence of the lesion by US-guided percutaneous fine needle aspiration failed, an exploratory laparotomy and incisional biopsy revealed a caseous abscess of the head of pancreas without typical changes of tuberculous granuloma, but acid-fast stain was positive. CONCLUSIONS: Pancreatic tuberculosis should be considered in the differential diagnosis of focal pancreatic lesions, especially for young people in developing countries

Port-site metastases: Considerations for laparoscopic oncologic surgeries

Although rare, port-site metastasis (PSM) following laparoscopic oncologic surgery has negative impact on patient prognosis and survival. While PSM occurrence has been associated with advanced disease status in some studies, its etiology and pathogenesis in various oncologic and surgical situations remain to be fully understood. Several biologic- and technique-related factors have been implicated in development of PSMs, suggesting a multifactorial process. In this review of the collective PSM case reports and experimental investigations in the literature, we discuss the putative etiologic factors and their potential mechanisms to gain a better understanding of this detrimental consequence of an otherwise beneficial (minimally invasive) technique. In particular, the roles of tumor-related factors (such as invasiveness), wound-related factors (such as tumor cell contamination acting as tumor seeding), gas-related conditions (such as hypoxia and pressure), immunomodulatory factors (such as stimulation/suppression of the inflammatory response), and surgery-related factors (such as the surgeon's skill) are detailed. This information is intended to not only improve our understanding of the causes of PSMs, but to promote the safety and efficacy of the application of laparoscopy in oncologic surgery

Solitary pancreatic tuberculous abscess mimicking pancreatic cystadenocarcinoma: a case report

Abstract Background The incidence of pancreatic tuberculosis is extremely rare, and it frequently misdiagnosed as pancreatic neoplasms. The nonsurgical diagnosis of this entity continues to be a challenge. Case presentation A 33 year old male with six-month history of intermittent right epigastric vague pain and weight lost had found a solitary pancreatic cystic mass and diagnosed as pancreatic cystadenocarcinoma. The chest X-ray film and physical examination revealed no abnormalities. Abdominal ultrasound (US) examination showed an irregular hypoechoic lesion of 6.6 cm × 4.4 cm in the head of pancreas, and color Doppler flow imaging did not demonstrate blood stream in the mass. The attempts to obtain pathological evidence of the lesion by US-guided percutaneous fine needle aspiration failed, an exploratory laparotomy and incisional biopsy revealed a caseous abscess of the head of pancreas without typical changes of tuberculous granuloma, but acid-fast stain was positive. Conclusions Pancreatic tuberculosis should be considered in the differential diagnosis of focal pancreatic lesions, especially for young people in developing countries.</p

Experimental Research on the Thermal-Consolidation Compound Forming of Thermosetting Fiber Metal Laminates Design for Complex Structures with Variable Curvature

The glass fiber-reinforced metal laminates (GLARE) cannot be used to form complex laminate structures in the aerospace industry, because there is substantial variation in the plasticity of the heterogeneous materials. Hence, a compound process for composite materials based on the thermoforming technology for aluminum alloy and fiber-reinforced metal laminates (FMLs)-forming technology was proposed; it contains solution heat treatment, thermoforming, quick cold die quenching, artificial aging integrated process (HFQ), and the thermal consolidation of fiber-reinforced metal laminates, and it is named the HFQ-FMLs forming process. In order to test and judge the effect of the heat treatment on the properties of the materials obtained by the new technology, the pure metal sheet and the three kinds of HFQ-FMLs composite laminates fabricated with the different layup method were assessed with the Vickers hardness test and the Charpy impact test at the same time, and they were labeled #1, #2, #3, #4, respectively. In the Charpy impact test, in order to obtain accurate data, the shape and fixing position of the specimen was optimized so that the gap direction was parallel to the loading direction. After the heat treatment, the properties of the aluminum alloy were improved, the hardness will affect the energy absorption of the laminates, and the relationship between the thickness, hardness and impact properties will be analyzed. The hardness test results are 39.9 HV, 37.5 HV, 37.4 HV, 37.1 HV which indicates the pure metal sheet had the greatest hardness, and the greater the thickness of fiber layer, the lower was the hardness of the HFQ-FMLs composite laminate. The impact resistance of the HFQ-FMLs composite laminates was about two times of the pure metal sheet for the same thickness, and the values are 2.3 J, 4.8 J, 4.8 J, 4.8 J, respectively. In addition, the method of laying the fiber layer had no effect on the impact resistance of the composite laminates. For the novel composite laminates subjected to different cutting processes, the scanning electron microscope (SEM) results for the incision morphology suggest that the water cutting process ensures the structural integrity of the composite laminates after the edges’ and holes’ cutting procedures, and the performance maintains continuity

Experimental Research on the Thermal-Consolidation Compound Forming of Thermosetting Fiber Metal Laminates Design for Complex Structures with Variable Curvature

The glass fiber-reinforced metal laminates (GLARE) cannot be used to form complex laminate structures in the aerospace industry, because there is substantial variation in the plasticity of the heterogeneous materials. Hence, a compound process for composite materials based on the thermoforming technology for aluminum alloy and fiber-reinforced metal laminates (FMLs)-forming technology was proposed; it contains solution heat treatment, thermoforming, quick cold die quenching, artificial aging integrated process (HFQ), and the thermal consolidation of fiber-reinforced metal laminates, and it is named the HFQ-FMLs forming process. In order to test and judge the effect of the heat treatment on the properties of the materials obtained by the new technology, the pure metal sheet and the three kinds of HFQ-FMLs composite laminates fabricated with the different layup method were assessed with the Vickers hardness test and the Charpy impact test at the same time, and they were labeled #1, #2, #3, #4, respectively. In the Charpy impact test, in order to obtain accurate data, the shape and fixing position of the specimen was optimized so that the gap direction was parallel to the loading direction. After the heat treatment, the properties of the aluminum alloy were improved, the hardness will affect the energy absorption of the laminates, and the relationship between the thickness, hardness and impact properties will be analyzed. The hardness test results are 39.9 HV, 37.5 HV, 37.4 HV, 37.1 HV which indicates the pure metal sheet had the greatest hardness, and the greater the thickness of fiber layer, the lower was the hardness of the HFQ-FMLs composite laminate. The impact resistance of the HFQ-FMLs composite laminates was about two times of the pure metal sheet for the same thickness, and the values are 2.3 J, 4.8 J, 4.8 J, 4.8 J, respectively. In addition, the method of laying the fiber layer had no effect on the impact resistance of the composite laminates. For the novel composite laminates subjected to different cutting processes, the scanning electron microscope (SEM) results for the incision morphology suggest that the water cutting process ensures the structural integrity of the composite laminates after the edges&rsquo; and holes&rsquo; cutting procedures, and the performance maintains continuity