We report a case of a 23-year old HIV-infected man who presented to the Emergency Department with abdominal pain, chronic diarrhea and weight loss of two months duration. A plain X-ray film of the abdomen showed dilated small bowel loops with air- fluid levels, ultrasonography of the abdomen showed intestinal dilatation and the presence of fluid in the abdominal cavity. After 8 days being hospitalized we decided to perform surgery in this patient, because of the development of peritoneal signs. We performed an exploratory laparotomy, where a perforation 40-cm distant from the ileo-cecal valve was found, surrounded by a tumoral mass. The lesion was excised and the pathology examination showed the presence of chronic inflammation and tissue repair, with a severe lymphocyte, plasma cells and macrophage infiltration was found, compatible with histoplasmosis. This condition was confirmed when...

We report a case of a 23-year old HIV-infected man who presented to the Emergency Department with abdominal pain, chronic diarrhea and weight loss of two months duration. A plain X-ray film of the abdomen showed dilated small bowel loops with air- fluid levels, ultrasonography of the abdomen showed intestinal dilatation and the presence of fluid in the abdominal cavity. After 8 days being hospitalized we decided to perform surgery in this patient, because of the development of peritoneal signs. We performed an exploratory laparotomy, where a perforation 40-cm distant from the ileo-cecal valve was found, surrounded by a tumoral mass. The lesion was excised and the pathology examination showed the presence of chronic inflammation and tissue repair, with a severe lymphocyte, plasma cells and macrophage infiltration was found, compatible with histoplasmosis. This condition was confirmed when...

OBJETIVO: Evaluar las características clínicas e histopatológicas de pacientes con neoplasia maligna de ovario. MATERIAL Y MÉTODO: Estudio retrospectivo, observacional, transversal y descriptivo de 28 historias clínicas que tenían reportes histopatológicos de neoplasia maligna de ovario, en el Hospital Nacional Guillermo Almenara Irigoyen ESSALUD entre los años 2004 – 2008. RESULTADOS: La edad promedio fue de 54.45 ± 8.65 años, los síntomas se caracterizaron por el dolor, masa abdominal y síntomas generales. Fue predominante en las no multíparas y con poco uso de anticonceptivos. Los procedimientos quirúrgicos fueron variados y asociados al tipo de tumor, tamaño, localización y extensión. El tumor epitelial fue el más frecuente (78.60%) con sus variantes epiteliales cistoadenocarcinoma mucinoso y seroso. Los grados histológicos más frecuentes fueron el bien diferenc...