Ectopic appendix vermiformis located in the right deep gluteal region due to unilateral piriformis agenesis

2018 ◽  
Vol 41 (1) ◽  
pp. 141-142 ◽  
Author(s):  
Mehmet Ali Ikidag
2019 ◽  
Vol 12 (9) ◽  
pp. e220408
Author(s):  
Willem AR Zwaans ◽  
Marc RM Scheltinga ◽  
Rudi MH Roumen

We describe a case of attachment of an appendix vermiformis following an inguinal hernia plug repair according to Rutkow and Robbins. A 62-year-old man presented at our outpatient clinic with a progressive sensation of tightness in the right groin area, painful urge of miction and long-lasting nausea with abdominal discomfort. During an open groin exploration, the appendix was found attached to an intraperitoneally located plug. The appendix and plug were removed with an uneventful recovery. During follow-up, the patient was free of groin pain and miction had normalised. Surprisingly, his long-lasting nausea and abdominal discomfort had disappeared as well.


Author(s):  
Sonia Jandial

The sciatic nerve has a long course right from the pelvis to the apex of the popliteal fossa. The point of division of the sciatic nerve into tibial and common peroneal nerves is very variable. The variation in the division of the sciatic nerve described in the present study should be helpful for anaesthetists and orthopaedic surgeons. While doing the dissection and teaching of the gluteal region in the Post Graduate Department of Anatomy, government medical college, Jammu, it was found that on the left side tibial nerve and common peroneal nerve were present instead of sciatic nerve. It meant that the main nerve that is the sciatic nerve had already been divided into its terminal branches in the pelvis region. Both tibial and common peroneal nerve were seen coming out of the pelvis below the piriformis muscle, while on the right side there were no variation. The sciatic nerve was seen coming out of the pelvis below the piriformis muscle as usual. Because of this high division of the sciatic nerve in the pelvis, there are many complications like failed sciatic nerve block during anaesthesia while performing surgery, but high division of the sciatic nerve may result in escape of either tibial nerve or common peroneal nerve. The gluteal region, back of the thigh and leg of the lower limb were dissected to study further course of tibial nerve and the common peroneal nerve. Photographs were also taken.


Author(s):  
Mahmut Corapli ◽  
Burcin Pehlivanoglu ◽  
Haci Taner Bulut ◽  
Huseyin Alakus ◽  
Nadiye Akdeniz

Abstract Merkel cell carcinoma (MCC) is a rare cutaneous neuroendocrine cancer that shows aggressive biologic behavior. Although it usually occurs in sun-exposed areas, it can rarely be seen in non-sun-exposed sites. Here, we present a 66-year-old woman with MCC arising from the right gluteal region that was treated wide excision and adjuvant chemoradiotherapy. In the 24th month follow-up, the case was disease and recurrence free, representing the longest survival among patients with gluteal MCC. Early diagnosis and treatment are important to improve survival rates in patients with non-sun-exposed MCC. Keywords: Merkel cell carcinoma, non-sun-exposed, Continuous...


2001 ◽  
Vol 36 (9) ◽  
pp. 623-628 ◽  
Author(s):  
Hidetaka Kobayashi ◽  
Yoichi Sakurai ◽  
Mitsutaka Shoji ◽  
Yasuko Nakamura ◽  
Masashi Suganuma ◽  
...  

2013 ◽  
Vol 15 (2) ◽  
pp. 168 ◽  
Author(s):  
BabalolaOladimeji Ranti ◽  
AkanbiOlusola Olateju ◽  
OlakulehinOlawale Adebayo

Hernia ◽  
2001 ◽  
Vol 5 (3) ◽  
pp. 156-157 ◽  
Author(s):  
Oguzkurt P. ◽  
Kayaselçuk F. ◽  
Öz S. ◽  
Serdar Arda ◽  
Oguzkurt L.

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Orhan Veli Ozkan ◽  
Vecdi Muderris ◽  
Fatih Altintoprak ◽  
Orhan Yagmurkaya ◽  
Omer Yalkin ◽  
...  

Most ingested foreign bodies usually pass out in the feces uneventfully. Complications such as intestinal perforation and bleeding usually occur with sharp, thin, stiff, long, and pointed objects. This case describes the management of three lead pellets within the appendix vermiformis. A 45-year-old male visited our clinic complaining of a 4-month history of abdominal pain. The patient inquiry revealed that he had eaten hunted rabbit meat on numerous occasions and had unintentionally ingested three lead pellets. Plain abdominal films and a barium enema showed foreign bodies in the right lower abdominal quadrant. Since the lead pellets were thought to have migrated extraluminally, they were removed through laparotomy under fluoroscopic guidance. An appendectomy was performed. Pathologically, three lead pellets were embedded in the appendix, which showed signs of intramucosal inflammation. Foreign bodies causing appendicitis are rare. However, if stiff or pointed objects enter the appendicular lumen, there is a high risk of appendicitis, perforation, or abdominal pain. An appendectomy was required to remove the ingested lead pellets in the appendix.


2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
S. T. Jayanth ◽  
P. Gaikwad ◽  
M. Promila ◽  
J. C. Muthusami

Subcutaneous zygomycosis is caused byBasidiobolus ranarumwhich is endemic in India. We report a case of a housewife who presented with a persistent discharging sinus from the right gluteal region subsequent to an intramuscular injection which was refractory to empirical antituberculous therapy. She underwent an excision of the sinus tract, the culture of which yieldedB. ranarum. The wound improved with oral potassium iodide.


2009 ◽  
Vol 44 (3) ◽  
pp. 201-201 ◽  
Author(s):  
B A McGregor ◽  
D W Ririe ◽  
M B Osswald

2014 ◽  
Vol 99 (4) ◽  
pp. 371-373 ◽  
Author(s):  
Vilvapathy Senguttuvan Karthikeyan ◽  
Sarath Chandra Sistla ◽  
Duvuru Ram ◽  
Sheik Manwar Ali ◽  
Sugi Subramaniam Raghavan Velayutham ◽  
...  

Abstract Gluteal abscess commonly follows intramuscular injections with contaminated needles. Carcinoma cecum is known to present with pericolic abscess due to microperforations and may rupture intraperitoneally. Gluteal abscess secondary to perforated carcinoma cecum with pericolic abscess is extremely uncommon. A 50-year-old woman who was receiving intramuscular iron injections for anemia presented with a 10 × 10-cm abscess in the right gluteal region and a vague mass in the right iliac fossa. After investigations, a diagnosis of perforated carcinoma cecum with pericolic abscess tracking into the right gluteal region was made, and incision and drainage were done. Fine-needle aspiration cytology from the cecal growth revealed adenocarcinoma. Unfortunately, the patient was not willing to undergo definitive treatment. This case is being reported for its rarity and as an uncommon etiology for a common condition.


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