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1篇 您的检索式:作者名="Francesca Centanini"
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1Acute abdomen: Rare and unusual presentation of right colic xanthogranulomatosis显示文摘Xanthogranulomatous inflammation(XGI)is a disease of unknown origin,most frequently described in the kidney and gallbladder;its localization in the colorectal tract is extremely rare.The extension of the typical inflammatory process to the surrounding tissues may lead to misdiagnosis as cancer.We report the case of a 56-year-old woman presenting to the Emergency Department with pain,increased levels ofα1 andα2proteins and C-reactive protein(17.5 mg/dL;normal value 0-0.5),and a palpable mass,localized in the right lower quadrant of the abdomen.A computed tomography scan showed a large right cecal mass with necrotic areas,local inflammation of retroperitoneal fat,and enlargement of local lymph nodes.Because of the high suspicion of colic abscess as well as malignancy and worsening of the clinical condition,the patient underwent right colectomy after 4 d of antibiotic treatment.Pathology revealed xanthogranulomatous inflammation involving the ileocecal valve.We review the reports of large bowel tract XGI in the international literature.Paola Addario Chieco Laura Antolino Valentina Giaccaglia Francesca Centanini Gaetano Vincenzo Cunsolo Alessandra Sparagna Stefania Uccini Vincenzo Ziparo 2014World Journal of Gastroenterology2014,20,26:2
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