BACKGROUND Collision tumors involving the small intestine,specifically the combination of a hamartomatous tumor and a lipoma,are extremely rare.To our knowledge,no previous case report has described a collision tumor ...BACKGROUND Collision tumors involving the small intestine,specifically the combination of a hamartomatous tumor and a lipoma,are extremely rare.To our knowledge,no previous case report has described a collision tumor composed of two benign tumors of different origins in the small intestine.CASE SUMMARY Here,we present the case of an 82-year-old woman who presented with hemorrhagic shock and was found to have a mass measuring approximately 50 mm×32 mm×30 mm in the terminal ileum.Based on computed tomography scan findings,the mass was initially suspected to be a lipoma.A subsequent colonoscopy revealed a pedunculated submucosal elevation consisting of two distinct parts with a visible demarcation line.A biopsy of the upper portion suggested a juvenile polyp(JP).Owing to the patient’s advanced age,multiple comorbidities,and poor surgical tolerance,a modified endoscopic submucosal dissection was performed.Histopathological examination of the excised mucosal mass revealed a lipoma at the base and a JP at the top,demonstrating evidence of rupture and associated bleeding.The patient’s overall health remained satisfactory,with no recurrence of hematochezia during the six-month follow-up period.CONCLUSION This case report provides new evidence for the understanding of gastrointestinal collision tumors,emphasizing their diverse clinical presentations and histopathological characteristics.It also offers diagnostic and therapeutic insights as well as an approach for managing benign collision tumors.展开更多
Halite and gypsum minerals in saline shale make the retention mechanism and chemical fractionation of residual oil unique. The Dongpu Depression in North China is a typically saline lacustrine basin with developing ha...Halite and gypsum minerals in saline shale make the retention mechanism and chemical fractionation of residual oil unique. The Dongpu Depression in North China is a typically saline lacustrine basin with developing halite and gypsum. The effect of gypsum minerals on residual oil content and chemical fractionation remains unclear. In this study, shale samples with different gypsum contents were used in organic geochemical experiments, showing that the high total organic matter (TOC) content and type II kerogen leads to a high residual oil content, as shown by high values of volatile hydrocarbon (S1) and extractable organic matter (EOM). XRD and FE-SEM result indicate that the existence of gypsum in saline shale contributes to an enhanced pore space and a higher residual oil content in comparison to non-gypsum shale. Additionally, the increase in the gypsum mineral content leads to an increase in the saturated hydrocarbon percentage and a decrease in polar components percentage (resins and asphaltene). Furthermore, thermal simulation experiments on low-mature saline shale show that the percentage of saturated hydrocarbons in the residual oil is high and remains stable and that the storage space is mainly mesoporous (> 20 nm) in the oil expulsion stage. However, the saturated hydrocarbons percentage decreases rapidly, and oil exists in mesopores (> 20 nm and < 5 nm) in the gas expulsion stage. In general, gypsum is conducive to the development of pore space, the adsorption of hydrocarbons and the occurrence of saturated hydrocarbon, leading to large quantities of residual oil. The data in this paper should prove to be reliable for shale oil exploration in saline lacustrine basins.展开更多
The majority of oil and gas resources in the world are related to saline sediments, which mainly occur in sedimentary strata in the form of cap rocks or salt-associated shales. A large number of shale oil resources ha...The majority of oil and gas resources in the world are related to saline sediments, which mainly occur in sedimentary strata in the form of cap rocks or salt-associated shales. A large number of shale oil resources have been discovered in the saline shale sediments of the Cenozoic terrestrial lake basin in China. The hydrocarbon generation ability and the reservoir capacity of shale control the oil and gas generation. The reservoir capacity is mainly characterized by pore type, structure and porosity. Most of China’s shale oil and gas resources belong to salt-bearing formations. The role of gypsum-salt rocks in the formation and evolution of organic matter (OM) in such formations has received extensive attention. However, systematic understanding is lacking. Research on the pore formation and evolution in shale under the action of gypsum-salt rock sediments is especially weak. Taking the shales in the third member of the Shahejie Formation (Es_(3)) of the Bohai Bay Basin as an example, the influence of halite on the formation and evolution process of pores was studied in this paper. The results show that halite and gypsum minerals were associated with OM, which made them more likely to develop OM pores. The samples with a high halite mineral content (HC) are more developed regarding the pore volume and specific surface area than those with a low HC. The formation of thick salt rocks is influenced by factors of deep thermal brine upwelling, sea erosion and arid environments. The frequent alternation between humid and arid environments led to the outbreak and death of organisms and the precipitation of gypsum-salt rock, which formed the simultaneous deposition of OM and halite minerals. Finally, we have established a model of shale pore evolution under the participation of the gypsum-salt rock, and halite minerals contribute to pore development in both Stage II and Stage IV. This study provides strong microscopic evidence for the pore system formation and evolution in salt-bearing reservoirs.展开更多
BACKGROUND Angiolipoma has been reported in many cases,and it often occurs in the skin of the trunk and limbs.However,angiolipoma in the scrotum is a rare disease with unknown etiology.This condition is difficult to d...BACKGROUND Angiolipoma has been reported in many cases,and it often occurs in the skin of the trunk and limbs.However,angiolipoma in the scrotum is a rare disease with unknown etiology.This condition is difficult to diagnosis with other lumps in the scrotum.CASE SUMMARY A 32-year-old man presented to the urinary department with a history of an enlarged left scrotum with increasing discomfort for about 5 years.Physical examination revealed that there were a palpable mass measuring about 7.0 cm×6.5 cm in the left scrotum,with smooth surfaces but without tenderness or adhesion to the skin.Ultrasound showed that there was a hyperechoic mass under the skin of the top scrotum,about 72 mm×64 mm×21 mm in size,with clear borders,uneven internal echo,and abundant blood flow signals.Serum human chorionic gonadotropin and alpha-fetoprotein were in normal level.Subcutaneous mass resection at the bottom of the left scrotum was performed under local anesthesia with 1%lidocaine.Postoperative pathological examination resulted in a diagnosis of subcutaneous angiolipoma of the scrotum.No evidence of recurrence was found at 6 mo after surgery and there were no complaints of discomfort.CONCLUSION Angiolipoma is an extremely rare type of benign tumor extremely rarely found in the scrotum,but needs to be considered when evaluating scrotal masses especially when the mass is solid.According to the characteristics of angiolipoma,surgical resection is the best treatment strategy and it is not prone to recurrence after resection.展开更多
基金Supported by the National Natural Science Foundation of China,No.82204994and Sanming Project of Medicine in Shenzhen,No.
文摘BACKGROUND Collision tumors involving the small intestine,specifically the combination of a hamartomatous tumor and a lipoma,are extremely rare.To our knowledge,no previous case report has described a collision tumor composed of two benign tumors of different origins in the small intestine.CASE SUMMARY Here,we present the case of an 82-year-old woman who presented with hemorrhagic shock and was found to have a mass measuring approximately 50 mm×32 mm×30 mm in the terminal ileum.Based on computed tomography scan findings,the mass was initially suspected to be a lipoma.A subsequent colonoscopy revealed a pedunculated submucosal elevation consisting of two distinct parts with a visible demarcation line.A biopsy of the upper portion suggested a juvenile polyp(JP).Owing to the patient’s advanced age,multiple comorbidities,and poor surgical tolerance,a modified endoscopic submucosal dissection was performed.Histopathological examination of the excised mucosal mass revealed a lipoma at the base and a JP at the top,demonstrating evidence of rupture and associated bleeding.The patient’s overall health remained satisfactory,with no recurrence of hematochezia during the six-month follow-up period.CONCLUSION This case report provides new evidence for the understanding of gastrointestinal collision tumors,emphasizing their diverse clinical presentations and histopathological characteristics.It also offers diagnostic and therapeutic insights as well as an approach for managing benign collision tumors.
基金funded by the National Natural Science Foundation of China (NSFC) (41872128)the Science Foundation of China University of Petroleum, Beijing (No. 2462020YXZZ021).
文摘Halite and gypsum minerals in saline shale make the retention mechanism and chemical fractionation of residual oil unique. The Dongpu Depression in North China is a typically saline lacustrine basin with developing halite and gypsum. The effect of gypsum minerals on residual oil content and chemical fractionation remains unclear. In this study, shale samples with different gypsum contents were used in organic geochemical experiments, showing that the high total organic matter (TOC) content and type II kerogen leads to a high residual oil content, as shown by high values of volatile hydrocarbon (S1) and extractable organic matter (EOM). XRD and FE-SEM result indicate that the existence of gypsum in saline shale contributes to an enhanced pore space and a higher residual oil content in comparison to non-gypsum shale. Additionally, the increase in the gypsum mineral content leads to an increase in the saturated hydrocarbon percentage and a decrease in polar components percentage (resins and asphaltene). Furthermore, thermal simulation experiments on low-mature saline shale show that the percentage of saturated hydrocarbons in the residual oil is high and remains stable and that the storage space is mainly mesoporous (> 20 nm) in the oil expulsion stage. However, the saturated hydrocarbons percentage decreases rapidly, and oil exists in mesopores (> 20 nm and < 5 nm) in the gas expulsion stage. In general, gypsum is conducive to the development of pore space, the adsorption of hydrocarbons and the occurrence of saturated hydrocarbon, leading to large quantities of residual oil. The data in this paper should prove to be reliable for shale oil exploration in saline lacustrine basins.
基金funded by the National Natural Science Foundation of China(41872128)Postdoctoral Foundation of China University of Petroleum(Beijing)(ZX20220102).
文摘The majority of oil and gas resources in the world are related to saline sediments, which mainly occur in sedimentary strata in the form of cap rocks or salt-associated shales. A large number of shale oil resources have been discovered in the saline shale sediments of the Cenozoic terrestrial lake basin in China. The hydrocarbon generation ability and the reservoir capacity of shale control the oil and gas generation. The reservoir capacity is mainly characterized by pore type, structure and porosity. Most of China’s shale oil and gas resources belong to salt-bearing formations. The role of gypsum-salt rocks in the formation and evolution of organic matter (OM) in such formations has received extensive attention. However, systematic understanding is lacking. Research on the pore formation and evolution in shale under the action of gypsum-salt rock sediments is especially weak. Taking the shales in the third member of the Shahejie Formation (Es_(3)) of the Bohai Bay Basin as an example, the influence of halite on the formation and evolution process of pores was studied in this paper. The results show that halite and gypsum minerals were associated with OM, which made them more likely to develop OM pores. The samples with a high halite mineral content (HC) are more developed regarding the pore volume and specific surface area than those with a low HC. The formation of thick salt rocks is influenced by factors of deep thermal brine upwelling, sea erosion and arid environments. The frequent alternation between humid and arid environments led to the outbreak and death of organisms and the precipitation of gypsum-salt rock, which formed the simultaneous deposition of OM and halite minerals. Finally, we have established a model of shale pore evolution under the participation of the gypsum-salt rock, and halite minerals contribute to pore development in both Stage II and Stage IV. This study provides strong microscopic evidence for the pore system formation and evolution in salt-bearing reservoirs.
基金Supported by Science and Technology Innovation Commission Foundation of Shenzhen,No.JCYJ20190808141013454 and No.JCYJ20180305124827261Shenzhen Key Laboratory Foundation,No.ZDSYS20200811143757022.
文摘BACKGROUND Angiolipoma has been reported in many cases,and it often occurs in the skin of the trunk and limbs.However,angiolipoma in the scrotum is a rare disease with unknown etiology.This condition is difficult to diagnosis with other lumps in the scrotum.CASE SUMMARY A 32-year-old man presented to the urinary department with a history of an enlarged left scrotum with increasing discomfort for about 5 years.Physical examination revealed that there were a palpable mass measuring about 7.0 cm×6.5 cm in the left scrotum,with smooth surfaces but without tenderness or adhesion to the skin.Ultrasound showed that there was a hyperechoic mass under the skin of the top scrotum,about 72 mm×64 mm×21 mm in size,with clear borders,uneven internal echo,and abundant blood flow signals.Serum human chorionic gonadotropin and alpha-fetoprotein were in normal level.Subcutaneous mass resection at the bottom of the left scrotum was performed under local anesthesia with 1%lidocaine.Postoperative pathological examination resulted in a diagnosis of subcutaneous angiolipoma of the scrotum.No evidence of recurrence was found at 6 mo after surgery and there were no complaints of discomfort.CONCLUSION Angiolipoma is an extremely rare type of benign tumor extremely rarely found in the scrotum,but needs to be considered when evaluating scrotal masses especially when the mass is solid.According to the characteristics of angiolipoma,surgical resection is the best treatment strategy and it is not prone to recurrence after resection.
