Peritoneal gliomatosis: a case report

Peritoneal gliomatosis is the mature neuroglial tissue in peritoneum, this is commonly associated with immature teratoma. Can be associated with ascites alone or ascites and pleural effusion in which case it is called pseudo Meigs syndrome, the lymph node invasion has been described. In the imaging studies such computed tomography they can be show as multiple peritoneal nodules, the positron emission tomography has shown utility in cases of doubt of recurrence of mature teratoma without evidence of primary tumor with elevated tumor marker. The initial treatment depends on the treatment of the teratoma, reserving the surgical treatment of the peritoneal gliomatosis in the presence of complications related to the implants. A 21-year-old woman without chronic degenerative disease story with clinical presentation of abdominal distension, a CT scan is performed that shows a right ovary tumor; a laparotomy was performed in which ascites and peritoneal nodules were evidenced suggesting the presence of carcinomatosis. Histopathological study demonstrated peritoneal gliomatosis.

Adult Gastric Bronchogenic Cyst With Elevated Tumor Marker in Containing Fluid: A Case Report and Literature Review

Introduction: Duplication cysts are rare malformations that exist in the alimentary tract, and the mucosa of gastric bronchogenic cyst lined by pseudostratified columnar ciliated epithelium (PCCE) is even more rare. We reviewed related literatures to depict this unique abnormality. Case presentation: Herein we report an abdominal mass that was found incidentally in a 52-year-old female. The biochemical test of contents revealed a high concentration of tumor markers unusually. A laparoscopic surgery was undertaken to remove the lesion. The cyst was found to originate from the stomach but did not show any anatomic communication with the stomach lumen. Pathologic examination confirmed the mucosa was lined by PCCE. Conclusion: The symptoms and radiologic presentations of GDC are nonspecific. It should be distinguished with other abdominal cystic masses. Surgery is advised in respective of malignancy.

Ciliated Foregut Cyst of the Pancreas Presenting as a Mucinous Cystic Neoplasm

A 53‑year‑old underwent an abdominal computed tomography for hematuria that incidentally discovered a cystic lesion of the pancreas. Endoscopic ultrasound revealed a structure with debris and septations; fine‑needle aspiration with negative cytology but elevated tumor marker suggested a mucinous cystic neoplasm or an intraductal papillary mucinous neoplasm. Laparoscopic excision confirmed a walled‑off cyst detachable from the posterior aspect of the pancreas consistent with a ciliated foregut cyst. There are limited data on ciliated foregut cysts of the pancreas, and the current report highlights the diagnostic dilemma and a review of the current literature.

Bilateral Ovarian Fibrothecoma Associated with Ascites, Bilateral Pleural Effusion, and Marked Elevated Serum CA-125

Background. The risk of ovarian cancer is increased in the association of ovarian tumor, ascites, and hydrothorax with the significant elevated tumor marker CA-125. However, this association can be observed in a rare clinical and benign pathological entity, that is Demons-Meigs’ syndrome.Objective. To describe a rare case of Demons-Meigs' syndrome observed in our department.Methods. A black African woman of 35 years old, seventh gravida and fourth parous, underwent a total abdominal hysterectomy with bilateral salpingoophorectomy for large bilateral ovarian masses associated with significant ascites, bilateral pleural effusion, and particular highly elevated tumor marker CA-125 (1835 UI/mL) in a pronounced general alteration condition.Results. The postoperative course was uneventful characterized by a complete remission of hydrothorax and ascites with normal level of CA-125 three months after tumor excision. Histology of both masses revealed a bilateral ovarian fibrothecoma, a benign tumor of the ovary, thus confirming the diagnosis of Demons-Meigs’ syndrome.Conclusion. The Demons-Meigs syndrome, although it strongly mimics the clinical picture of malignant metastatic ovarian cancer, remains a disease with benign prognosis after surgical tumor resection. This is a rare condition that must be known and recognized by practitioners to avoid unnecessary practices.