1/14. Sclerosing mesenteritis involving the pancreas: two cases of a rare cause of abdominal mass mimicking malignancy.Two patients presented with abdominal pain and weight loss and each was found to have an abdominal mass involving the pancreas and small bowel mesentery. In both cases a malignant process was suspected clinically, radiologically and surgically. Multiple biopsy specimens in both patients showed dense fibrosis, chronic inflammation and fat necrosis with pancreatic infiltration. Histological opinions included the differential diagnosis of retroperitoneal fibrosis but, with the knowledge of the presence of localized masses, these cases were eventually considered to be due to sclerosing mesenteritis. Direct involvement of the pancreas has not previously been highlighted and led to diagnostic difficulty. Both patients have responded to treatment with corticosteroids. Interestingly, one of the patients subsequently developed a tubulo-interstitial nephritis, which has not previously been reported as associated with sclerosing mesenteritis. This has also responded to corticosteroid treatment.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
2/14. Primary epiploic appendagitis: MRI findings.Primary epiploic appendagitis (PEA) occurs secondary to inflammation of an epiploic appendage, and is considered to be a rare cause of acute abdomen. In this case report, we describe the magnetic resonance imaging (MRI) findings of PEA correlated with computed tomographic (CT) findings. MRI findings included an oval shaped fat intensity mass with a central dot on T1- and T2-weighted images, which possessed an enhancing rim on postgadolinium T1-weighted fat saturated images. The lesion was best visualized on postcontrast T1-weighted fat saturated images. MRI findings of PEA should be considered in the differential diagnosis with the other causes of acute abdominal pain.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
3/14. Encapsulating peritoneal sclerosis-like findings in a hemodialysis patient without a history of peritoneal dialysis.Encapsulating peritoneal sclerosis (EPS) is recognized as a serious complication of peritoneal dialysis (PD). Involvement of inflammation is indispensable as a cause of EPS. Here, we present a case of EPS that occurred in a 46-year-old man with alcoholic liver cirrhosis and ascites who was treated solely by hemodialysis (HD). We managed this patient surgically, with total intestinal enterolysis. Thick capsules had formed surrounding the ascites. capsules had also covered the parietal peritoneum and intestinal surface and compressed the intestine. Examination of the ascites suggested the involvement of inflammation and the coagulation-fibrinolysis system. inflammation of a deteriorated peritoneum causes EPS, resulting in encapsulation subsequent to an accumulation of inflammatory products such as fibrin. Even without deterioration of the peritoneum, chronic inflammation and continual irritation caused EPS-like findings with encapsulation.- - - - - - - - - - ranking = 3keywords = inflammation (Clic here for more details about this article) |
4/14. pelvic pain caused by intraperitoneal enterobius vermicularis (threadworm) ova with an associated systemic autoimmune reaction.AIM: The aim of this paper, based on a case study was two-fold; firstly to review the sites and gynecologic complications of ectopic enterobius vermicularis and secondly study the autoimmune accompaniments of parasitic infestations. methods: A case of intraperitoneal ectopic enterobius vermicularis, with accompanying autoimmune signs and symptoms, is presented and its response to surgical and medical treatment described. A medical literature search was carried out into the subject of ectopic enterobius vermicularis, particularly from the gynecologic perspective along with a study of autoimmune activation associated with parasitic infestation. RESULTS: pelvic pain was found to be caused by chronic inflammation from ectopic enterobius vermicularis. This was treated both surgically and medically, with the surgical treatment proving to be inadequate but with a good response to immune modification. In the literature ectopic enterobius vermicularis was found to be treatable surgically. CONCLUSION: Ectopic enterobius vermicularis was found to create symptomatic inflammatory lesions that could be treated surgically and an associated autoimmune response treatable by immune modification.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
5/14. Ossification of the peritoneal membrane.BACKGROUND: peritoneal dialysis (PD) patients rarely develop sclerosing peritonitis (SP), a severe, life-threatening condition of unknown pathogenesis. Ossification of the peritoneum (PO) is a rare occurrence, which has, however, been reported in PD patients with SP. OBJECTIVE: To investigate etiopathogenetic correlations between PO and SP by histopathological examination. METHOD: We examined biopsy specimens, obtained by laparoscopy or during surgery from 36 patients with SP, from all parts of italy in the past 8 years for evidence of peritoneal calcification or ossification. Other studies were performed on a sample of dense white material found under the parietal peritoneum of 1 patient during laparoscopy. RESULTS: Ossification of the peritoneum was found in 4/16 patients with calcifications. In addition to PO, we also found bone marrow in two specimens and arterial ossification in one case. In specimens with calcifications, and especially those with ossification, there was evidence of peritoneal inflammation with infiltration of lymphocytes, multinuclear giant cells, macrophages, and mast cells. The chemical composition of the whitish material was 85% calcium chloride and 15% hydroxyapatite. CONCLUSIONS: Calcifications alone were found in 33% (12/36) of cases of SP; 11% of SP cases were complicated by both peritoneal calcification and ossification (4/36), which indicates great availability of calcium under conditions of inflammation. Where does this calcium come from? In 1 patient with PO, the quantity of calcium was enormous and its unusual composition suggested a link with the calcium contained in dialysis solution.- - - - - - - - - - ranking = 2keywords = inflammation (Clic here for more details about this article) |
6/14. Peritoneal sarcoidosis and elevated CA 125.Although CA 125 is generally considered a serum marker of malignant tumors, it may be elevated in conditions characterized by peritoneal inflammation. We report a patient with known pulmonary sarcoidosis who presented with an adnexal mass and an elevated CA 125. At laparotomy, she was found to have miliary peritoneal disease simulating the appearance of metastatic cancer. Microscopic examination revealed a benign ovarian cyst and diffuse granulomatous disease similar to that present in the lung.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
7/14. cholesterol granuloma of the peritoneum.cholesterol granulomas are common in the mastoid region but have rarely been reported in other areas. The authors report the case of a 40-year-old man who had a cholesterol granuloma of the peritoneum. They discuss the morphology of the condition and the difficulties of diagnosis. It is likely that chronic or recurrent inflammation plays a major role in the pathogenesis and that, when dealing with such lesions preoperatively or intraoperatively, a radical approach may not be necessary.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
8/14. Intraabdominal panniculitis: clinical, radiographic, and CT features.Intraabdominal panniculitis, also known as lipodystrophy, is an inflammatory condition of adipose tissue that may result in development of large masses containing necrotic fat (nodular intraabdominal panniculitis). Symptoms are secondary to inflammation or mass effect on adjacent organs. barium studies may show nonspecific inflammatory changes and displacement of bowel loops. Computed tomography (CT) demonstrates inhomogeneous masses containing fat and soft tissue density. The diagnosis of intraabdominal panniculitis has seldom been made prospectively. However, the CT findings are characteristic and can aid in the evaluation and management of patients with this disease.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
9/14. Massive acquired omental cyst as a complication of ventriculo-peritoneal shunting.A case of massive acquired omental cyst in a 13-year-old girl as a complication of ventriculo-peritoneal (VP) shunting is reported. This is the first such case to be reported. Most complications of VP shunting involve shunt blockade, infection, or both. The absence of shunt blockade, infection or inflammation, and associated symptoms in this case permitted the acquired omental cyst to reach a massive size before detection; the cyst was managed successfully by simple resection of a large part of its thin wall.- - - - - - - - - - ranking = 1keywords = inflammation (Clic here for more details about this article) |
10/14. Peritoneal foreign body granulomas to keratin in uterine adenocanthoma.Four cases of well-differentiated adenocarcinoma with squamous metaplasia (so-called adenocanthoma) of the uterus were associated with granulomatous inflammation of the pelvic peritoneum. The inflammation was the result of a foreign-body response to keratin that desquamated from the surface of the tumor and was carried to the peritoneal cavity through the lumen of the fallopian tubes. The absence of viable neoplastic cells and favorable follow-up examinations in these patients indicate that the presence of peritoneal keratin granulomas in association with endometrial adenoacanthoma should not be regarded as an indicator of metastatic spread.- - - - - - - - - - ranking = 2keywords = inflammation (Clic here for more details about this article) |
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