Adnexal masses represent a spectrum of conditions from gynecologic and nongynecologic sources. They may be benign or malignant. The initial detection and evaluation of an adnexal mass requires a high index of suspicion, a thorough history and physical examination, and careful attention to subtle historical clues. Timely, appropriate laboratory and radiographic studies are required. The most com...

Tuberculosis is a high-incidence public health problem in Peru. In our context, seen commonly as pulmonary infection. Extrapulmonary tuberculosis gastric rare, both primary or secondary infection, with just few case reports published about these kinds of presentations. This report presents 44-year-old female patient weight loss, dyspepsia, and abdominal pain. Upper endoscopy reveals antral poly...

Gangliocytic paragangliomas (GPs) are rare tumors of the duodenum, presenting as single sessile or pedunculated polypoid masses. Clinical manifestations of duodenal GPs can vary from an incidental finding at endoscopy to frequent upper gastrointestinal bleeding caused by mucosal ulceration and abdominal pain. GPs are considered benign, but the disease can recur and spread to regional lymph node...

Fatal abdominal sarcomatosis is a rare complication secondary to gastrointestinal stromal tumor (GIST) arising from the small intestine. Here, we describe a 49-year-old man who presented with massive ascites and multiple mesenteric solid masses. Autopsy showed large necrotic mass (19 x 14 x 8.0 cm) surrounding the terminal ileum with multiple smaller nodules on the omentum and mesentery. Histol...

During their pregnancy Approximately 1 in 500 to 1 in 635 women will require non-obstetrical abdominal surgery. Acute appendicitis, cholecystitis, and intestinal obstruction are the most common non-obstetrical surgical emergencies complicating pregnancy. Other conditions that may require surgery during pregnancy include ovarian cysts, masses or torsion, symptomatic cholelithiasis, adrenal tumor...

Ovarian cysts are an extremely common gynecological problem in adolescent. Majority of ovarian cysts are benign with few cases being malignant. Ovarian serous cystadenoma are rare in children. A 14-year-old presented with abdominal pain and severe abdominal distention. She underwent laparotomy and after surgical removal, the mass was found to be ovarian serous cystadenoma on histology. In concl...

Leiomyomatosis peritonealis disseminata is usually asymptomatic or mimics widespread malignancy; acute presentation is rare. We describe a patient with right iliac fossa and lower abdominal pain. Two masses were detected via computed tomography, but at surgery, one of these implanted leiomyomas had undergone acute omental torsion. This case illustrates a rare complication of omental leiomyoma t...

We present a patient who had chronic, bilateral pleural effusions without evidence of parenchymal, retrocardiac or mediastinal masses. A CAT scan of the abdomen and chest revealed the extension of a large abdominal pseudocyst through the diaphragm into the posterior mediastinum. The pseudocyst resolved with conservative management.

We are reporting an unusual case of widespread abdominal calcifications, in the peri-colic mesentery, liver and spleen. The diagnostic laparoscopy showed multiple encapsulated calcified hard rounded masses of varying size and shape, with marked adhesions in and around the bowel and mesentery. Histopathology identified them as calcified lymph nodes, but was unable to highlight the pathogenesis o...

The purpose of this study was to analyse the sonographic findings of focal splenic lesions with an attempt to diVerentiate benign lesions from malignancies. The sonographic findings of 53 cases of verified focal splenic lesions, excluding posttraumatic haematomas and phleboliths, were retrospectively analysed. Of the 53 cases, 30 cases (57%) were benign and 23 cases (43%) were malignant. The ma...