scholarly journals Use of Diagnostic Laparoscopy for Identification of Bilateral Noncommunicating Hydroceles in an Infant with Right-Sided Abdominoscrotal Mass and Left-Sided Scrotal Mass

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Kian Asanad ◽  
Pooya Banapour ◽  
Monica Metzdorf
Keyword(s):  
Diagnostic Laparoscopy ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Cystic Mass ◽  
Internal Ring ◽  
Scrotal Mass ◽  
Scrotal Ultrasound ◽  
Scrotal Swelling ◽  
Abdominoscrotal Hydrocele ◽  
Rule Out

Infantile abdominoscrotal hydrocele (ASH) is a rare condition characterized by a dumbbell-shaped cystic mass extending from the scrotum to the abdomen. We present the case of a 4-month-old infant who presented with progressively enlarging bilateral scrotal swelling and a tense, ballotable right-sided abdominal mass with extension into the scrotum. Scrotal ultrasound revealed bilateral hydroceles but exam and ultrasound could not rule out communication. At the time of planned hydrocelectomy, initial diagnostic laparoscopy was used to identify a massive right-sided ASH extending from the internal ring to the umbilicus and a large noncommunicating left-sided hydrocele that was visible with application of pressure to the left side of the scrotum. Following confirmation of anatomy with diagnostic laparoscopy, a scrotal approach to hydrocelectomy was performed as well as bilateral orchidopexy.

scholarly journals Two Neonates with Congenital Hydrocolpos

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Vydehi Murthy ◽  
Jessica Costalez ◽  
Julie Weiner ◽  
Kristin Voos
Keyword(s):  
Prenatal Diagnosis ◽  
Reproductive Tract ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Mass Effect ◽  
Cystic Mass ◽  
Sacrococcygeal Teratoma ◽  
Mri Imaging ◽  
Fetal Diagnosis ◽  
High Index Of Suspicion

Introduction. Neonatal hydrocolpos is a rare condition. Hydrocolpos is cystic dilatation of the vagina with fluid accumulation due to a combination of stimulation of secretary glands of the reproductive tract and vaginal obstruction. The differential for a neonatal presentation of lower abdominal mass includes urogenital anomalies, Hirschsprung’s, disease or sacrococcygeal teratoma. Prenatal diagnosis and early newborn imaging studies leads to early detection and treatment of these cases.Case. We report here two cases of neonatal hydrocolpos with prenatal diagnosis of lower abdominal mass. Postnatally, ultrasound, MRI imaging, and cystoscopy confirmed large cystic mass as hydrocolpos with distal vaginal obstruction. Both patients had enlarged renal system secondary to mass effect.Conclusion. High index of suspicion for hydrocolpos in a newborn presenting with fetal diagnosis of infraumbilical abdominal mass will facilitate timely intervention and prevention of complications.

scholarly journals Abdominoscrotal Hematocele in an Adult and Its Successful Treatment

2021 ◽  
Author(s):  
Uday S. Kumbhar ◽  
Sandeep Bhattarai ◽  
Oseen Shaikh
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Surgery ◽  
Surgical Procedure ◽  
Diagnostic Laparoscopy ◽  
Inguinal Canal ◽  
Rare Complication ◽  
Internal Ring ◽  
Open Procedure ◽  
Laparoscopic Surgical Procedure ◽  
Abdominoscrotal Hydrocele

Abdominoscrotal hydrocele (ASH) is a variant of hydrocele rare to occur in adults. ASH has two sacs, one in the scrotum and one in the abdomen connected through the inguinal canal. Abdominoscrotal hematocele is a rare complication of ASH. We present a 57-year-old male patient, presented to us in August 2019 to JIPMER, Puducherry, India, with complaints of swelling in the scrotum for 15years and abdominal pain for two months. Both the swellings were soft, and cross fluctuation was present. Imaging confirmed the diagnosis of ASH. We did diagnostic laparoscopy, and the abdominal sac was decompressed and found to have thick brownish fluid suggestive of hematocele. We could demonstrate that both sacs were connected. Due to difficulty in the dissection of the sac, the procedure was converted to an open procedure. Both the sacs were excised, and Lytle’s repair was done for the dilated internal ring. Keywords: Testicular Hydrocele, Scrotal Hydrocele, Hydrocele, Hematocele, Testicular Hematocele, Scrotal Hematoceles, Laparoscopic Surgical Procedure, Laparoscopic Surgery

scholarly journals Multifocal abdominal endometriosis, a case report

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Julia Porter ◽  
Jacob Eisdorfer ◽  
Crystal Yi ◽  
Cecilia Nguyen
Keyword(s):  
Case Report ◽  
Umbilical Hernia ◽  
Diagnostic Laparoscopy ◽  
Rare Condition ◽  
Pelvic Endometriosis ◽  
Surgical Interventions ◽  
Underlying Malignancy ◽  
Umbilical Hernia Repair ◽  
Work Up ◽  
Rule Out

Abstract Multifocal endometriosis found outside of the pelvis is very rare. We present here a case of endometriosis found in the pelvis, appendix and umbilicus. A 52-year-old female had a previous umbilical hernia repair, and years later started to develop a recurrent umbilical mass. After a full work-up, it was decided the patient have a diagnostic laparoscopy with wide local excision of umbilical mass to rule out any underlying malignancy. Findings during the procedure included an umbilical mass, dilated appendix and ovoid mass abutting the appendix. Pathology of the umbilical mass was found to be consistent with endometriosis. Umbilical and pelvic endometriosis is a rare condition. Options for diagnosis prior to surgical interventions are limited in endometriosis. In this case, ruling out underlying malignancy took priority, and the mass was removed and she will have less chance of recurrence.

scholarly journals Fetus in fetu: two case reports from North African country

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Moutaz Ragab ◽  
Omar Nagy Abdelhakeem ◽  
Omar Mansour ◽  
Mai Gad ◽  
Hesham Anwar Hussein
Keyword(s):  
Histopathological Examination ◽  
Case Reports ◽  
Abdominal Mass ◽  
Mature Teratoma ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Mass Effect ◽  
Fetus In Fetu ◽  
Vascular Connection ◽  
First Case

Abstract Background Fetus in fetu is a rare congenital anomaly. The exact etiology is unclear; one of the mostly accepted theories is the occurrence of an embryological insult occurring in a diamniotic monochorionic twin leading to asymmetrical division of the blastocyst mass. Commonly, they present in the infancy with clinical picture related to their mass effect. About 80% of cases are in the abdomen retroperitoneally. Case presentation We present two cases of this rare condition. The first case was for a 10-year-old girl that presented with anemia and abdominal mass, while the second case was for a 4-month-old boy that was diagnosed antenatally by ultrasound. Both cases had vertebrae, recognizable fetal organs, and skin coverage. Both had a distinct sac. The second case had a vascular connection with the host arising from the superior mesenteric artery. Both cases were intra-abdominal and showed normal levels of alpha-fetoprotein. Histopathological examination revealed elements from the three germ layers without any evidence of immature cells ruling out teratoma as a differential diagnosis. Conclusions Owing to its rarity, fetus in fetu requires a high degree of suspicion and meticulous surgical techniques to avoid either injury of the adjacent vital structures or bleeding from the main blood supply connection to the host. It should be differentiated from mature teratoma.

scholarly journals Capillary hemangioma of the scrotum mimicking an epididymal tumor: Case report

2014 ◽  
Vol 86 (4) ◽  
pp. 395 ◽  
Author(s):  
Antonio Vavallo ◽  
Francesco Lafranceschina ◽  
Giuseppe Lucarelli ◽  
Carlo Bettocchi ◽  
Pasquale Ditonno ◽  
...  
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
Color Doppler ◽  
Capillary Hemangioma ◽  
Scrotal Mass ◽  
Scrotal Ultrasound ◽  
Pathological Evaluation

We report a case of capillary hemangioma of the scrotum. A 52-year-old male presented with a left scrotum swelling that had arisen suddenly two months before. Scrotal ultrasound revealed a dishomogeneous mass in the left scrotum. The mass demonstrated blood flow in the color Doppler mode. Scrotal mass excision was performed. Pathological evaluation revealed a capillary hemangioma.

scholarly journals Solid Pseudopapillary Neoplasm (SPN) of the Pancreas: A 7-year Study in A Tertiary Level Teaching Hospital in Bangladesh

2021 ◽  
Vol 9 (2) ◽  
pp. 34-38
Author(s):  
Mehdi Ashik Chowdhury ◽  
- Asaduzzaman
Keyword(s):  
Clinical Symptoms ◽  
Tumour Size ◽  
Abdominal Mass ◽  
Cross Sectional Study ◽  
Cystic Mass ◽  
Preoperative Imaging ◽  
Cystic Degeneration ◽  
Solid Pseudopapillary Neoplasm ◽  
Rare Tumour ◽  
Cross Sectional

Solid pseudopapillary neoplasm (SPN) of the pancreas, also referred to as Frantz's tumour, is a rare tumour and represents 1-3% of all pancreatic tumours, which typically affects young women without significant clinical symptoms. This cross-sectional study was done in the Department of Pathology, Bangabandhu Sheikh Mujib Medical Un iversity (BSMMU) between January 2009 and December 2015. A total of nineteen cases of solid pseudopapillary neoplasm (SPN) of pancreas were detected in patients and included in this study. In all the patients the diagnosis was confirmed by histopathology after the surgery. Tumours were nodular, cystic or solid-cystic, often encapsulated. Some of them were received as irregular fragmented pieces, as intact removal was not possible. Cut surfaces were partly grey-white and partly tan-brown with cystic degeneration. Areas of necrosis and hemorrhage were present in all the specimens.The age range was of 14-45 years (mean age 26.9±3.7 years) (Table-I). Among the tumours, 18 were found in female patients, while only 1 was from male patient. In all the cases, preoperative imaging contributed to diagnosis of an abdominal mass in the patients. 11 of these were reported as pancreatic mass, while 3 as pancreatic cystic mass, 2 as retroperitoneal mass, 2 as mesenteric mass and only 1 as adrenal mass. Tumour-size ranged from 6 to 19 cm (mean size 9.3±1.5 cm). 7 tumours were solid and cystic in nature, while 8 were solid and 4 were only cystic. Complete capsule was found in 17 specimens. Calcifications were found in only 5 specimens. Surgical resection was found generally curative. In our study, absence of metastasis suggests that these tumours hardly show aggressive clinical behaviour. However, follow-up is important to observe potential local recurrence and metastasis. CBMJ 2020 July: Vol. 09 No. 02 P: 34-38

scholarly journals MUCINOUS CYSTADENOCARCINOMA

2018 ◽  
Vol 16 (2) ◽  
pp. 59
Author(s):  
Sadia Anwar ◽  
Nasim Saba
Keyword(s):  
Abdominal Mass ◽  
Exploratory Laparotomy ◽  
Abdominal Hysterectomy ◽  
Genetic Mutation ◽  
Cystic Mass ◽  
Mucinous Cystadenocarcinoma ◽  
Ca 125 ◽  
Invasive Adenocarcinoma ◽  
Epithelial Tumor ◽  
Glandular Cells

A 55 years old lady presented to Gynecology outpatient of MMM Teaching Hospital, D.I.Khan in January 2018 with history of abdominal mass. Her abdominal hysterectomy was done one year back. On examination a huge cystic mass reaching up to the xiphisternum and occupying the whole abdomen was palpable. Her ultrasound revealed a mass arising from pelvis, most likely ovarian in nature. Her CA-125 level was 29.62 IU/ml (in normal range). Exploratory laparotomy revealed a huge cystic mass which was excised. Histopathology reported mucinous cystadenocarcinoma of the ovary. Chemotherapy was then done. There was no recurrence by the end of nine months follow-up as evaluated by ultrasonography. Mucinous cystadenocarcinoma is an invasive adenocarcinoma composed of malignant glandular cells containing intracytoplasmic mucin. It is relatively common in middle-aged women. Genetic mutation such as KRAS gene have been reported. It is a rapidly growing epithelial tumor usually presenting as a single solid mass. Treatment involves surgery and chemotherapy. The prognosis depends upon the stage of tumor.

Association of Hashimoto’s Thyroiditis and Burkitt Lymphoma: A Rare Condition to Be Considered

Praxis ◽  
2021 ◽  
Vol 110 (14) ◽  
pp. 812-815
Author(s):  
Dea Degabriel ◽  
Alberto Cerutti ◽  
Laura Caramanica ◽  
Alessandro Viganò ◽  
and Tanja Fusi-Schmidhauser
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Hashimoto’S Thyroiditis ◽  
Rare Condition ◽  
Hashimoto's Thyroiditis ◽  
Low Grade ◽  
Thyroid Lymphoma ◽  
Thyroid Mass ◽  
Primary Thyroid Lymphoma ◽  
Rule Out

Abstract. We present the case of a 72-year-old woman who was diagnosed with Hashimoto’s thyroiditis and who developed a low-grade fever, fatigue, and weight loss that prompted to perform a thyroid biopsy to rule out an underlying primary thyroid lymphoma. This case report offers the opportunity to review the association between Hashimoto’s thyroiditis and primary thyroid lymphoma. Furthermore, it underlines the importance of considering the diagnosis of lymphoma when a thyroid mass is found in patients with an underlying Hashimoto’s disease, as the timely management is essential for survival with this rare thyroid condition.

Case 4.16

2014 ◽  
pp. 216-217
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Pregnant Woman ◽  
Posterior Margin ◽  
Abdominal Mass ◽  
Cystic Mass ◽  
Solid Component ◽  
Intravenous Contrast ◽  
Axial Diffusion ◽  
Diffusion Weighted Images ◽  
Diffusion Weighted ◽  
Fluid Levels

32-year-old pregnant woman with an abdominal mass; MRI was performed without intravenous contrast Axial fat-suppressed FSE T2-weighted images (Figure 4.16.1) reveal a complex predominantly cystic mass in the pancreatic body and tail with a prominent solid component along the posterior margin. Note the multiple small fluid-fluid levels within the lesion. Axial diffusion-weighted images (b=600 s/mm...

scholarly journals Operation procedure of sacrococcygeal fetus in fetu

2011 ◽  
Vol 51 (1) ◽  
pp. 58 ◽  
Author(s):  
Rochadi Rochadi
Keyword(s):  
Adrenal Gland ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Mature Embryo ◽  
First Year ◽  
Fetus In Fetu ◽  
Sacrococcygeal Region ◽  
Parasitic Twin ◽  
Operation Procedure ◽  
First Year Of Life

Fetus in fetu is a condition in wich a fetiform calcified mass often presents in the abdomen of its host, a newborn. It is extremely rare condition, estimated once in 500,000 deliveries and has a 2: 1 male predominantly; with most patient presenting with an abdominal  mass in the first year of life. 5,13 The term fetus in fetu is used to point out an unequal division of totipotential cells of blastocyst where the result is the inclusion of a small cellular mass in the more mature embryo. It was encapsulated, pedunculated and represents a malformed monozygotic, monochorionic, diamniotic parasitic twin. In 80% cases, fetus in fetu is located  retroperitonealy but can be found in unusual location such as in oropharynx, neck, skull mediastinum, pelvis, iliac mesentery, adrenal gland, sacrococcygeal region and scrotal sac.

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