Bibliographic Details
| Title: |
Endosalpingiosis vermis-metaplasia mülleriana del epitelio celómico de la punta apendicular. Reporte de un caso pediátrico. |
| Alternate Title: |
Endosalpingiosis of the appendix: müllerian metaplasia of celomic epithelium. A paediatric case report. |
| Authors: |
Salazar-Morales, Miguel Fernando1 k7nigricans@hotmail.com, Parraguirre-Martínez, Sara1 |
| Source: |
Patologia Revista Latinoamericana. abr-jun2014, Vol. 52 Issue 2, p161-165. 5p. |
| Abstract (English): |
We inform about a case of an eleven year-old female with appendicular endosalpingiosis as an incidental finding. Case: Puerile female patient with signs and symptoms of appendicitis. Appendectomy was performed and the surgical product was sent for routine histopathological examination. Histopathological findings: An irregularly tubular appendectomy product was received with an unpolished mahogany serous surface and a plum-coloured inside with bleeding zones. Light microscopy revealed denuded areas of epithelium and acute inflammation; however, inspection of the appendicular tip discovered a field with benign glandular structures lined by tubal-type epithelium lacking a muscular layer or endometrial stroma. Conclusion: Currently understood as a form of müllcrian metaplasia of coclomic epithelium, endosalpingiosis is a phenomenon notfrcqucntly seen in young patients and, indeed, exceptional in appendicular location. Though occasionally associated with ovarian serous tumours or chronic salpingitis, its genesis under the background of hormonal stimulation seems reasonable. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Se comunica un caso de endosalpingiosis (metaplasia mülleriana del epitelio celómico) en un producto de apendicectomía en una joven de 11 años de edad. Caso: escolar femenina que a fines de julio de 2012 tuvo un cuadro de apendicitis aguda resuelto por medio de cirugía. El espécimen obtenido fue remitido para su estudio histopatológico de rutina. Hallazgos histopatológicos: se recibió un producto de apendicectomía irrcgularmcnte tubular con serosa cafe pardo, anfractuosa y opaca cuyos cortes mostraron mucosa con áreas de hemorragia. Al examen histológico se observó ulceración con infiltrado inflamatorio agudo, en tanto el corte a nivel de la punta evidenciaba un foco constituido por glándulas tapizadas por epitelio rnülleriano (Je morfología tubárica sin distinguirse alrededor pared de músculo liso ni estroma endometrial. Conclusiones: la endosaIpingiosis es una modificación metaplásica poco frecuente en mujeres jóvenes cuya aparición a nivel del apéndice cecal es igualmente extraordinaria. Si bien puede estar asociada en determinados casos, ya sea con salpingitis crónica o con neoplasias serosas de ovario, su hallazgo en relación con estímulos endocrinos también es plausible. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
