Martínez-Garza PA, Robles LLPA, Visag CVJ, Reyes EL

Language: Spanish
References: 11
Page: 262-265
PDF size: 84.89 Kb.

ABSTRACT

Objective: To report a clinical case of xanthoganulomatous appendicitis, and to perform a literature review.
Setting: Hospital Médica Sur (third level health care hospital).
Design: Case report.
Description of the case: Woman, 30-year-old, coursing with abdominal pain clinically compatible with acute apendicitis. Laparoscopic appendicectomy without complications was performed, pathology reports xanthogranulomatous apendicitis. Xanthogranulomatous inflammation of the cecal appendix is an unusual chronic entity, its pathogenesis is unknown, however, it has been evidenced that ischemia, chronic obstructions, and mucosal ulceration play an important role in the development of this type of inflammation. Within histological findings are spongy cells and fusocellular fibrosis zones. Six similar cases have been described worldwide.
Conclusion: This is an uncommon disease, its diagnosis is reached through histopathology. There are several hypotheses with respect to its etiology, from lipids transport alterations to infectious causes. The relevance of its diagnosis is because it might be associated to intestinal inflammatory diseases.

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