Browsing by Autor "Fiorella Guadalupe Rodriguez Campian"

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A Diagnostic Twist: Cavernous Hemangioma Presenting as Acute Appendicitis
(Medknow, 2025) Jesus Sebastian Luna Medrano; Fiorella Guadalupe Rodriguez Campian; Brigida del Pilar Grecia; A R Castañeda; Rick Jordan; Margarida Rafael; Pedro Merino
Abstract Cavernous hemangiomas are benign vascular tumors relatively frequent in organs such as the skin, central nervous system and bones and exceptionally rare in the gastrointestinal tract. These lesions typically show up as intermittent stomach pain, chronic iron deficiency anemia, or lower gastrointestinal hemorrhage. e present the case of a 16-year-old male with 24 hours of severe right iliac fossa pain radiating to the left ,associated with vomiting , fever and anorexia. Physical exam revealed positive Mc Burney , Rovsing and Blumberg signs. Laboratory tests showed leukocytosis with neutrophilia. Clinical suspicion of acute appendicitis led to exploratory laparotomy.Intraoperatively, a coralliform mass approximately 8 × 10 cm in size was discovered, involving the cecum and the proximal third of the ascending colon. The mass had an ecchymotic appearance.The patient recovered uneventfully, passing stool on postoperative day six, and was discharged in stable condition with a soft diet and scheduled outpatient follow-up. Histopathological analysis confirmed the diagnosis of a cavernous hemangioma. Although the initial clinical suspicion pointed toward acute appendicitis, intraoperative findings revealed a cavernous hemangioma of the colon, an exceptionally rare vascular lesion in this age group and location. Timely surgical management and appropriate postoperative care contributed to a favorable outcome, reinforcing the critical role of early intervention and vigilant clinical follow-up in rare gastrointestinal vascular pathologies. Cavernous hemangioma ,acute appendicitis ,vascular malformation, acute abdominal pain.
Delayed Diagnosis of Lumbosacral Lipomyelomeningocele With Tethered Cord: A Case Report
(Cureus, Inc., 2025) Fiorella Guadalupe Rodriguez Campian; A. Castaneda; M Ramírez; Betsy Salazar; Leslie I Torres Abono; Jesús Lauro Paz-Luna; Carlos A. Romero
Lipomyelomeningocele (LMMC) is a rare form of closed spinal dysraphism arising from primary neurulation defects, characterized by a lipomatous mass that anchors the spinal cord. Early diagnosis is critical to prevent progressive neurological deterioration; however, in resource-limited settings, detection is often delayed. We report the case of a nine-year-old girl with a congenital lumbosacral mass identified at birth but underestimated during the initial neonatal assessment. Over time, she developed progressive gait disturbances and right equinovarus deformity. Magnetic resonance imaging performed later revealed a lumbosacral LMMC with tethered cord and occult spina bifida. The patient underwent a 15-hour surgical procedure consisting of LMMC excision and cord untethering, with no intraoperative complications. Postoperatively, she presented with preserved motor strength, residual hypoesthesia in the lower limbs, and bladder management with neuromodulation. At two-week follow-up, she showed stable neurological function, improved gait with rehabilitation, and satisfactory wound healing. This case underscores the importance of recognizing lumbosacral cutaneous stigmata as markers of occult spinal dysraphism, highlights the challenges associated with delayed diagnosis, and emphasizes the need for a multidisciplinary approach in the management of complex surgical cases. Furthermore, it reflects the global epidemiological burden of neural tube defects estimated at 18.6 per 10,000 live births and the disparities in diagnosis and access to specialized care in rural areas, reinforcing the importance of improving neonatal screening, the availability of imaging studies, and healthcare provider training to reduce preventable disability.