Diagnosis and percutaneous drainage

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of the rectum in a pelvic abscess of appendicular origin]. Vestnik khirurgii imeni I I 1968,100(1):118–119. Competing interests The authors declare that they have no competing interests. Authors’ contributions MD and AP drafted the manuscript, ND et MS critically revised the manuscript. All authors read and approved the final manuscript.”
“ntroduction mafosfamide BI 2536 Hemangiomas are the most common benign neoplasms affecting the liver with an incidence of 0.4-20% in autopsy series [1]. Women are affected more often than men. The female-to-male ratio is 5:1 to 6:1. They occur at all ages. Most cases are asymptomatic and do not require

any treatment. Pedunculated haemangiomas are extremely rare, with only a few cases reported in the literature [2]. Herein; we report the case of a torsioned giant pedunculated liver haemangioma that mimicked acute appendicitis. Case Presentation A 31 year old man admitted to our emergency department with a 2 day history of right iliac fossa pain which he described as continuous. He also had anorexia, nausea. On physical examination, his pulse rate was 96 beats/min, his body temperature was 37.1°C. His abdomen was markedly tender at the right iliac fossa with guarding and rebound tenderness at McBurney’s point. The rest of the systemic examination was normal and the Mantrels score of the patient was 6. Laboratory data was as follows; hemoglobin 15.8 g/dl, total leukocyte count 9700/mm3, with 75% polymorphonuclear leukocytes, 37% lymphocytes, 3,2% monocytes, and 1% eosinophils; erythrocyte sedimentation rate was 2 mm for 1 h. Liver function tests, serum electrolytes, and creatinine were all within normal ranges. His bowel movements were regular on oscultation. Per rectum examination was normal.