scholarly journals Bilateral Synchronous Granulomatous Orchitis in a Patient with Erectile Disfunction: Clinical and Pathologic Study of the Case

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
M. Rodriguez Peña ◽  
D. Moreno
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Male Patient ◽  
Leydig Cells ◽  
Inflammatory Process ◽  
Surgical Intervention ◽  
Testicular Tumor ◽  
Histological Findings ◽  
Loss Of Libido ◽  
Histopathologic Analysis

A 50-year-old male patient presented with erectile failure and loss of libido. In the physical examination, there were stone-hard indurations in his bilateral testes. The ultrasonographic study demonstrated multiple hypoechoic areas in the testes and normal epididymis. Since the lesion was presumed as malignancy, bilateral inguinal exploration was performed and intraoperative frozen biopsies were studied and diagnosed as inflammatory process. Nevertheless, we decided to perform left orchiectomy to a deeper histopathologic analysis which revealed granulomatous orchitis, mastocytosis, and severe depletion of Leydig cells at the testicular interstitium. Differential diagnosis between testicular tumor and granulomatous orchitis is very difficult in any examination except by histological findings. Bilateral cases of this pathology are relatively rare, but it is necessary to distinguish them from the testicular tumor before surgical intervention to avoid an unnecessary orchiectomy.

scholarly journals Gradinego’s syndrome: atypical presentation

2018 ◽  
Vol 4 (2) ◽  
pp. 604
Author(s):  
Sumana C. V. ◽  
Suhel Hasan
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Otitis Media ◽  
Nerve Palsy ◽  
Surgical Intervention ◽  
Clinical History ◽  
Atypical Presentation ◽  
Sixth Cranial Nerve ◽  
Gradenigo’S Syndrome ◽  
Periorbital Pain

Gradenigo’s syndrome was first described by Giuseppe Gradenigo in 1907 when he reported a triad of symptoms consisting of unilateral periorbital pain related to trigeminal nerve involvement, diplopia due to sixth cranial nerve palsy and persistent otorrhoea, associated with otitis media with petrositis. The classical syndrome related to otitis media has become very rare after the antibiotic era. Incomplete and atypical clinical features of Gradenigo’s syndrome have been described and non infectious causes may mimic this condition. We report a case of acute petrositis in a 19 year old boy with unilateral periorbital pain, diplopia (lateral rectus palsy) in the absence of ear discharge. Careful clinical history, physical examination, including neuroimaging, is necessary to make a differential diagnosis. Appropriate management requires antibiotic treatment and possible surgical intervention.

scholarly journals A case of seminoma presented with clinical manifestations of testicular torsion

2017 ◽  
Vol 89 (3) ◽  
pp. 236
Author(s):  
Aytac Sahin ◽  
Caglar Yildirim ◽  
Serkan Akan ◽  
Ozgur Haki Yuksel ◽  
Ahmet Urkmez
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Clinical Picture ◽  
Laboratory Tests ◽  
Testicular Torsion ◽  
Clinical Manifestations ◽  
Testicular Tumor ◽  
Imaging Modalities ◽  
Acute Scrotum ◽  
Testicular Tumors

Testicular tumors rarely manifest themselves with clinical picture of testicular torsion. In this presentation of ours, we reported a 30-year-old patient whose post-orchiectomy histopathology report revealed the presence of seminoma. The patient consulted us with acute scrotum whose physical examination and Doppler ultrasonographic findings showed testicular torsion. Though rarely seen patients, in cases who consulted with acute scrotum, the possibility of testicular tumor should not be discarded. For the establishment of differential diagnosis detailed anamnesis and physical examination findings should be supported with laboratory tests and imaging modalities.

Radial Neuropathy—Saturday Night Palsy and Posterior Interosseous Neuropathy

2018 ◽  
Author(s):  
Sethesh Mansinghani ◽  
Xiaoming Qi ◽  
Jason H. Huang
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Radial Nerve ◽  
Surgical Intervention ◽  
Assessment Process ◽  
Spiral Groove ◽  
Surgical Incision ◽  
Surgical Exploration ◽  
Left Hand ◽  
Significant Weakness

The chapter presents a case of radial neuropathy—specifically, a patient who presented with weakness in his left hand after a fall 2 months earlier. The patient had significant weakness in the fingers of the left hand on physical examination. The assessment process is outlined, along with differential diagnosis of radial nerve entrapment at the spiral groove and posterior interosseous neuropathy. Diagnostic pearls, physical examination findings, and indications for surgical intervention are discussed. A detailed description of the surgical exploration is supplied, along with illustrations of both the surgical incision and intraoperative landmarks.

Localized Idiopathic Internal Resorption in the Primary Dentition.

2010 ◽  
Vol 34 (4) ◽  
pp. 339-341
Author(s):  
Navneet Lad ◽  
Marie Therese Hosey ◽  
Keith Hunter
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Male Patient ◽  
Primary Teeth ◽  
Primary Dentition ◽  
Primary Molars ◽  
Second Primary ◽  
Histological Findings ◽  
Histological Features ◽  
Multiple Primary

Case report: We present the clinical and histological findings in a case of a six year old male patient who had unexplained sequential spontaneous abscesses associated with an unusual pattern of resorption, resulting in the loss of his non-carious second primary molars. Conclusions: Despite a wide differential diagnosis,the case represents unusual clinical and histological features of resorption in multiple primary teeth.

RETROSPECTIVE ANALYSIS OF ACUTE LYMPHADENITIS OF THE MAXILLOFACIAL REGION AND NECK IN CHILDREN

2021 ◽  
pp. 134-139
Author(s):  
Маргарита Александровна Агапова ◽  
Дмитрий Юрьевич Харитонов ◽  
Ирина Владимировна Корытина ◽  
Анна Владимировна Подопригора
Keyword(s):  
Differential Diagnosis ◽  
Inflammatory Process ◽  
Surgical Intervention ◽  
Hematological Parameters ◽  
Temperature Curve ◽  
Hospital Treatment ◽  
Maxillofacial Region ◽  
Clinical Forms ◽  
The Face ◽  
Life Threatening

Дети с острыми формами лимфаденитов челюстно-лицевой области составляют большую часть пациентов поликлиник и профильных стационаров. Зачастую они имеют недооцененную клиническую картину, общее состояние, распространенность и динамику острого воспалительного процесса, требуя хирургического вмешательства. Допущенные ошибки приводят к удлинению сроков лечения и иногда угрозе для жизни. Для раннего выявления показаний для госпитализации и помощи практикующим врачам в алгоритме действий проведен анализ случаев острых лимфаденитов лица и шеи в детском возрасте. На основе ретроспективных данных осуществлена систематизация лимфаденитов челюстно-лицевой области по клиническим формам и распределении частоты встречаемости, возрасту, анатомической принадлежности, выделены основные изменения гематологических показателей. Определена корреляция температурной кривой, этиологические причины возникновения лимфаденитов и основные микробиологические возбудители гнойных форм лимфаденитов лица и шеи у детей. На основании полученных данных нами разработаны и предложены критерии дифференциальной диагностики разных клинических форм лимфаденита, что поможет врачу с постановкой предварительного диагноза, или дифференциальной диагностике, на этапе поликлиники или на догоспитальном приёме. Данные критерии помогут сократить сроки лечения детей в стационаре и не допустить развития тяжелых осложнений Children with acute forms of lymphadenitis of the maxillofacial region make up the majority of patients in polyclinics and specialized hospitals. They often have an underestimated clinical picture, general condition, prevalence and dynamics of an acute inflammatory process, requiring surgical intervention. Mistakes lead to lengthening of treatment and sometimes life-threatening. For early detection of indications for hospitalization and assistance to practitioners in the algorithm of actions, an analysis of cases of acute lymphadenitis of the face and neck in childhood was carried out. On the basis of retrospective data, the systematization of lymphadenitis of the maxillofacial region by clinical forms and distribution of frequency of occurrence, age, anatomical affiliation was carried out, the main changes in hematological parameters were highlighted. The correlation of the temperature curve, the etiological causes of the occurrence of lymphadenitis and the main microbiological pathogens of purulent forms of lymphadenitis of the face and neck in children were determined. Based on the data obtained, we have developed and proposed criteria for the differential diagnosis of various clinical forms of lymphadenitis, which will help the doctor with a preliminary diagnosis, or differential diagnosis, at the stage of the polyclinic or at the pre-hospital admission. These criteria will help to shorten the period of hospital treatment for children and prevent the development of severe complications

scholarly journals Is orchiectomy avoidable in testicular tuberculosis mimicking malignancy? A case report

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Youssef Kharbach ◽  
Youssef Retal ◽  
Abdelhak Khallouk
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Family History ◽  
Physical Examination ◽  
Testicular Cancer ◽  
Testicular Tumor ◽  
Pathologic Examination ◽  
Case Presentation ◽  
Scrotal Swelling ◽  
Firm Mass

Abstract Background Isolated testicular tuberculosis (TB) is extremely uncommon. It has non-specific presentation; thus, diagnosis is challenging and is often discovered on pathology examination after orchiectomy. Case presentation We report herein the case of a 73-year-old male, with no significant medical or family history, who presented with left scrotal swelling, physical examination revealed a left testicular firm mass measuring 3 cm and ultrasound was suggestive of testicular tumor. Left inguinal orchiectomy was performed and the pathologic examination revealed testicular TB. The presentation was typically mimicking a testicular cancer with no evocative evidence of TB; this can lead to a dilemma and highlights the need to consider TB in differential diagnosis of testicular tumor, especially in areas endemic for the disease. Conclusions The aim of our presentation is to argue if orchiectomy was avoidable. It also illustrates the probable hematogenous or lymphatic spread of Mtb to the testicle.

scholarly journals Differential Diagnosis of Azoospermia in Men with Infertility

2021 ◽  
Vol 10 (14) ◽  
pp. 3144
Author(s):  
Danilo L. Andrade ◽  
Marina C. Viana ◽  
Sandro C. Esteves
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Detailed Analysis ◽  
Clinical Management ◽  
Semen Analysis ◽  
Testicular Biopsy ◽  
Nonobstructive Azoospermia ◽  
Sperm Cryopreservation ◽  
Imaging Studies ◽  
Detailed Medical History

The differential diagnosis between obstructive and nonobstructive azoospermia is the first step in the clinical management of azoospermic patients with infertility. It includes a detailed medical history and physical examination, semen analysis, hormonal assessment, genetic tests, and imaging studies. A testicular biopsy is reserved for the cases of doubt, mainly in patients whose history, physical examination, and endocrine analysis are inconclusive. The latter should be combined with sperm extraction for possible sperm cryopreservation. We present a detailed analysis on how to make the azoospermia differential diagnosis and discuss three clinical cases where the differential diagnosis was challenging. A coordinated effort involving reproductive urologists/andrologists, geneticists, pathologists, and embryologists will offer the best diagnostic path for men with azoospermia.

Small Bowel Obstruction

2010 ◽  
Vol 21 (2) ◽  
pp. 187-194
Author(s):  
Colleen Trevino
Keyword(s):  
Small Bowel ◽  
Physical Examination ◽  
Surgical Intervention ◽  
Signs And Symptoms ◽  
Bowel Ischemia ◽  
Key Factors ◽  
The Past ◽  
Factors Influencing ◽  
Imaging Response

Strategies for the management of small bowel obstructions have changed significantly over the years. Nonoperative medical management has become the mainstay of treatment of many small bowel obstructions. However, the key to the management of small bowel obstructions is identifying those patients who need surgical intervention. Identification of those at risk for bowel ischemia and bowel death is an art as much as it is a science. Using the current literature and the past knowledge regarding small bowel obstructions, the clinician must carefully identify the signs and symptoms that suggest the need for operative intervention. Classification of the obstruction, history and physical examination, imaging, response to decompression and resuscitation, and resolution or progression of symptoms are the key factors influencing the management of small bowel obstructions.

scholarly journals Metastatic adrenal pheochromocytoma to the thoracic spine

2010 ◽  
Vol 9 (3) ◽  
pp. 343-346 ◽  
Author(s):  
Michael T. Scalfani ◽  
Paul M. Arnold ◽  
Karen K. Anderson
Keyword(s):  
Differential Diagnosis ◽  
Surgical Intervention ◽  
Hepatic Metastases ◽  
Posterior Fixation ◽  
Original Diagnosis ◽  
Average Survival ◽  
Progression Of Disease ◽  
Adrenal Pheochromocytoma ◽  
History Of ◽  
Work Up

To report on a case of pheochromocytoma metastases to the spine occurring more than 20 years after initial diagnosis. A 34-year-old female with a history of metastatic pheochromocytoma diagnosed at age 12 presented with weakness, heart palpitations, and circumferential back pain of five months duration. The patient had undergone multiple laparatomies for abdominal and hepatic metastases. Work-up revealed a destructive lesion at T9. After two weeks of preoperative phenoxybenzamine to control her hypertension, she underwent decompression, posterior fixation and fusion. Surgical intervention was followed by radiation therapy, zoledronic acid, and only one cycle of chemotherapy due to intolerance of side effects. The patient survived 25 years after original diagnosis, which far exceeds the average survival of less than 15 years. The patient died 26 months postoperatively due to progression of disease. Pheochromocytoma with spine metastases occurring more than 20 years after diagnosis is very uncommon, and should be considered in the differential diagnosis of a patient with a history of pheochromocytoma.

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