XXXX mimicking @entity697 : laparoscopic management.

@entity1 @entity32 @entity697 @entity2466 @entity5 @entity1822 @entity490 @entity221 @entity491
BACKGROUND: @entity1822 ( @entity1822 ) are a challenging clinical entity. The vast majority of @entity1 are operated on when @entity5 are advanced. We report herein a case of @entity1822 , mimicking @entity697 and treated successfully via laparoscopy. METHODS: A 37-year-old @entity1 , para 1, was admitted to our department for right lower quadrant @entity490 , @entity221 , and @entity491 . She had no changes in gastrointestinal and urologic function. A physical examination revealed the presence of abdominal guarding, rebound, and a tender mass in the right lower quadrant. The abdominal ultrasound showed an inhomogeneous ovoid mass (6 cm in diameter) located below the cecum, with no definite margins, and consistent with an @entity2466 . The @entity1 was referred for laparoscopy. The procedure was performed with the aid of 3 ports: a 12-mm trocar in the umbilicus (open technique), a 10-mm trocar in the left iliac fossa, and a 5-mm one in the supra-pubic space. On inspection of the abdominal cavity, a retroperitoneal 6-cm mass was immediately found below the cecum and the appendix. Neither intraperitoneal seeding nor suspected lymph nodes were present. After dissection of the parietal peritoneum, the mass appeared to be encapsulated and well demarcated from all surrounding structures. It was eventually dissected and removed via a plastic bag. A standard appendectomy was also performed. The postoperative course was uneventful, and the @entity1 was discharged on the 3rd day. The histology analysis of the resected specimen showed a totally excised @entity1822 . The appendix had no signs of @entity32 . Postoperatively, the @entity1 underwent a total-body CT-scan, which had no signs of residual or distant disease. No adjuvant therapy was necessary. At an 18-month follow-up, the @entity1 was doing well and was disease free. CONCLUSION: Surgery represents the main therapeutic option for resectable @entity1822 . Laparoscopy is a useful diagnostic tool that allows safe resection of incidentally discovered, small and well encapsulated @entity1822 .
