Intestinal malrotation is a congenital anomaly caused by incomplete rotation or absence of rotation of the primitive intestine along the axis of the upper mesenteric artery during embryonic development. Embryonic development and its anatomical variations were described by Dott in 1923.Intestinal malrotation is a rare condition among adults – prevalent in a mere 0.0001% to 0.19% of the population –, and it may be associated with other anatomical deformities. It can be asymptomatic or manifest with varying intensity, from obstruction to necrosis of intestinal segments. In general, this abnormality is diagnosed in the first year of life; however, symptoms may appear later in life, making diagnosis in adults difficult on account of non-specific symptoms.In the present study, we report a case of intestinal malrotation associated with chronic non-specific symptoms progressing to mesenteric angina.
Hemangioma testicular é extremamente raro e ocorre principalmente em pacientes com menos de vinte anos de idade. Devido à semelhança com lesões malignas, a orquiectomia radical geralmente é o tratamento estabelecido. No presente relato de caso, apresentamos um paciente com quinze anos de idade, apresentando tumoração testicular unilateral, com contornos irregulares, alto fluxo na ultrassonografia com Doppler e marcadores tumorais negativos. Submetido a orquiectomia radical, sendo evidenciado hemangioma testicular cavernoso, um tumor raro, de evolução benigna, cujo diagnóstico histopatológico é considerado o padrão ouro. Com base neste relato, foi feita uma revisão de literatura com os principais aspectos sobre esse diagnóstico.
Palavras chave: hemangioma testicular; neoplasia testicular benigna; orquiectomia.
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