scholarly journals Impalpable Testis: Evaluation of Diagnostic and Treatment Procedures and Our Treatment Protocol

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ivana Fratrić ◽  
Dragan Šarac ◽  
Jelena Antić ◽  
Marina Đermanov ◽  
Radoica Jokić
Keyword(s):  
Retrospective Study ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Treatment Protocol ◽  
Diagnostic Procedures ◽  
Final Diagnosis ◽  
Impalpable Testis ◽  
Two Stages ◽  
Treatment Procedures ◽  
Abdominal Testis

Introduction. The aim of this study is to present our treatment protocol for impalpable testis. Material and Methods. In a retrospective study we analyzed clinical data including diagnostic procedures, intraoperative findings, final diagnosis, treatment modality, and outcome of patients with impalpable testis who underwent surgery from January 2010 until December 2015. Results. Ninety-one patients were admitted under the diagnosis of impalpable testis. In 39 patients ultrasound detected testis in the inguinal canal and orchidopexy was done. In 25 patients (48.08%) laparoscopy showed the entrance of the spermatic cord into the inguinal canal. Open exploration of the inguinal canal was done, testicular remnant removed, and appropriate testicular prosthesis implanted. Twenty patients (20/52) underwent orchidopexy of the abdominal testis (46.51%), 4 of which underwent Fowler-Stevens procedure in two stages, and in 16 patients deliberation of the testis and spermatic cord was sufficient to place the testis into the scrotum. Conclusions. Excision of the testicular nubbin is highly recommendable, as well as implantation of the testicular prosthesis at the time of orchiectomy.

scholarly journals Spermatic cord angiomyolipoma misdiagnosed as inguinoscrotal hernia

2020 ◽  
Vol 148 (1-2) ◽  
pp. 111-114
Author(s):  
Goran Aleksandric ◽  
Vuk Aleksic ◽  
Perica Jockic ◽  
Zorana Bokun
Keyword(s):  
Computed Tomography ◽  
Spermatic Cord ◽  
Laboratory Tests ◽  
Inguinal Canal ◽  
Diagnostic Procedures ◽  
Common Site ◽  
Presumptive Diagnosis ◽  
Inguinoscrotal Hernia ◽  
The Right ◽  
Adipose Cells

Introduction. Angiomyolipomas represent neoplasms of mesenchymal origin, made up of abnormal thick-walled blood vessels, smooth spindle muscle cells, and mature adipose cells. The most common site of origin are kidneys, and other localizations are extremely rare. We represent a case of a spermatic cord angiomyolipoma misdiagnosed as incarcerated inguinoscrotal hernia, and to our prudence this is second described case of an angiomyolipoma localized in the spermatic cord. Case outline. We present a case of a 63-year-old man presented with high fever and difficulty in walking due to pain and swelling in the right groin. According to the clinical examination and laboratory tests, presumptive diagnosis was incarcerated inguinoscrotal hernia, so the patient was immediately operated on. The exploration of the inguinal canal showed a timorous mass, 9 ? 9 cm in size, with the origin from the spermatic cord, so radical inguinal orchiectomy was performed with the removal of the tumor mass. Histopathological and immunohistochemistry examination suggested angiomyolipoma of the spermatic cord. The postoperative course was uneventful. Conclusion. Although rare, an angiomyolipoma of the spermatic cord must be included in the differential diagnosis of scrotal masses. Also, we advocate additional diagnostic procedures (ultrasound or computed tomography) for every inguinoscrotal mass before undertaking surgery, since a variety of different causes can be found. After definitive angiomyolipoma diagnosis is obtained, further investigation is needed, especially brain computed tomography due to possible tuberous sclerosis coexistence.

scholarly journals Diagnostic approach to peripheral solitary pulmonary lesions

2002 ◽  
Vol 55 (11-12) ◽  
pp. 501-505 ◽  
Author(s):  
Mirna Djuric
Keyword(s):  
Retrospective Study ◽  
Lung Diseases ◽  
Diagnostic Procedures ◽  
Final Diagnosis ◽  
Diagnostic Approach ◽  
Pulmonary Lesions ◽  
Prospective Group ◽  
Peripheral Pulmonary Lesions ◽  
Low Costs ◽  
Sensitivity Specificity

Introduction Peripheral localization and lack of symptoms are reasons why it is difficult to establish the diagnosis of peripheral pulmonary lesions commonly of malignant nature. Therefore thoracotomy often represents a diagnostic and therapeutic method at the same time. There is a need to define an adequate and optimal diagnostic approach to these lesions in order to establish their etiology, if possible, at low costs. Material and methods This retrospective study included 50 patients with peripheral solitary pulmonary lesions (PSPL) who underwent thoracotomy at the Institute of Lung Diseases in Sremska Kamenica. In all patients both bronchoscopy and transthoracic puncture were performed prior to surgery. Having evaluated the diagnostic procedures, their proper sequence has then been applied in the prospective group of another 50 patients admitted to the Institute for similar lesions. Results In the retrospective group the etiology of PSPL was established by bronchoscopy in 4% and using transthoracic puncture in 58% of patients, with sensitivity, specificity and accuracy of 78.78%, 100% and 85.1%, respectively. In the prospective group, transthoracic puncture (TTP) provided the final diagnosis in 70% of patients, with 86.2% sensitivity, 100% specificity and 90% accuracy. Conclusion Transthoracic puncture is a method of choice in preoperative diagnostics of solitary peripheral pulmonary lesions, quite like thoracotomy in cases where applied diagnostic procedures were inefficient.

Assessment of Lesions Detected at Mammographic Screening: Performance at First or Repeat Screening in the Florence Programme

1994 ◽  
Vol 1 (3) ◽  
pp. 188-192 ◽  
Author(s):  
Stefano Ciatto ◽  
Marco Rosselli Del Turco ◽  
Daniela Giorgi ◽  
Doralba Morrone ◽  
Sandra Catarzi ◽  
...  
Keyword(s):  
Diagnostic Procedures ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Mammographic Screening ◽  
Surgical Biopsy ◽  
Predictive Values ◽  
Screening Performance ◽  
The Cost ◽  
Benign Biopsy ◽  
Biopsy Rate

To evaluate the assessment criteria and the results achieved in the detection of breast lesions at mammographic screening. Review of cases assessed in the last screening round of Florence city (FC.- first screening round: 29 522 subjects) and Florence district (FD — repeat screening round: 13 268 subjects) programmes. Methods – Referral and biopsy rates, predictive values, and prevalence of cancers detected by screening were determined, as well as the frequency of the diagnostic procedures used at assessment, and their contribution to the final diagnosis according to the mammographic appearance of the suspected lesion. Assessment costs were estimated. Referral rate (FC 4.2%; FD 1.8%), referral positive predictive value (FC 18.7%; FD 28.3%), surgical biopsy rate (FC 0.96%; FD 0.6%), benign/malignant biopsy ratio (FC 0.20; FD 0.13), and prevalence of cancers detected by screening (FC 0.78%; FD 0.5%) were all within the European Community (EC) recommended standards for screening performance. The benign biopsy rate was considerably lower than that of recommended standards. The cost for each subject assessed was 179 000 Italian lire at the first and 116 000 lire at repeat screening. The cost for each subject screened that was attributable to assessment was 7600 lire at the first or 2100 lire at repeat screening. Limited referral rates and costs were achieved and the proportion of cancers detected by screening was high. The number of referrals was further reduced at repeat screening, and assessment had a limited impact on total screening costs. Detail or magnification mammography, palpation, sonography, and fine needle aspiration cytology all contributed to the final diagnosis and should be immediately available at the assessment clinic. The observed benign biopsy rate was particularly low and suggests that EC recommended standards should be modified.

scholarly journals Condyle‐glenoid fossa relationship after Herbst appliance treatment during two stages of craniofacial skeletal maturation: A retrospective study

2019 ◽  
Vol 22 (4) ◽  
pp. 345-353 ◽  
Author(s):  
Paula Loureiro Cheib Vilefort ◽  
Leticia Orefice Farah ◽  
Henrique Pársia Gontijo ◽  
Alexandre Moro ◽  
Antonio Carlos de Oliveira Ruellas ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Skeletal Maturation ◽  
Glenoid Fossa ◽  
Herbst Appliance ◽  
Two Stages

scholarly journals Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review

2020 ◽  
Vol 17 (20) ◽  
pp. 7457
Author(s):  
Claudia Menéndez ◽  
Lucía Batalla ◽  
Alba Prieto ◽  
Miguel Ángel Rodríguez ◽  
Irene Crespo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Frontal Plane ◽  
Diagnostic Procedures ◽  
Medial Tibial Stress Syndrome ◽  
Foot Pressure ◽  
Shockwave Therapy ◽  
Stress Syndrome ◽  
Recreational Runners ◽  
Treatment Procedures

This systematic review evaluates the existing literature about medial tibial stress syndrome (MTSS) in novice and recreational runners. PubMed/MEDLINE, EMBASE, Web of Science, Scopus, SPORTDiscus and CINAHL databases were searched until July 2020. Studies covering risk factors, diagnostic procedures, treatment methods and time to recovery of MTSS in novice and recreational runners were selected. Eleven studies met the inclusion criteria and were included. The risk factors of MTSS are mainly intrinsic and include higher pelvic tilt in the frontal plane, peak internal rotation of the hip, navicular drop and foot pronation, among others. Computed tomography (CT) and pressure algometry may be valid instruments to corroborate the presence of this injury and confirm the diagnosis. Regarding treatment procedures, arch-support foot orthoses are able to increase contact time, normalize foot pressure distribution and similarly to shockwave therapy, reduce pain. However, it is important to take into account the biases and poor methodological quality of the included studies, more research is needed to confirm these results.

scholarly journals Diagnosis delay of Duchenne Muscular Dystrophy

2004 ◽  
Vol 4 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Alexandra Prufer de Queiroz Campos Araújo ◽  
Mariana Castro de Deco ◽  
Beatriz de Sá Klôh ◽  
Mariana Rangel da Costa ◽  
Fernanda Veiga de Góis ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Duchenne Muscular Dystrophy ◽  
Muscular Dystrophy ◽  
Clinical Features ◽  
Medical Records ◽  
Dystrophin Gene ◽  
Final Diagnosis ◽  
University Hospital ◽  
Diagnosis Delay ◽  
Diagnosis Age

OBJECTIVES: to study the clinical features of Duchenne Muscular Dystrophy with emphasis on diagnosis delay. METHODS: an observational descriptive retrospective study was performed using medical records of patients with diagnosis of Duchenne Muscular Dystrophy given in the period from 1989 to 2000 at the neuropediatric out-patient clinic of a University Hospital. RESULTS: immunohistochemical results or deletion on the dystrophin gene confirmed the diagnosis of the 78 boys included in this study. Parents had noticed the first symptoms since the median age of two years. The final diagnosis was reached at a median age of seven. CONCLUSIONS: diagnosis age is closer to the age of ambulation loss than that of the first symptoms. There is a marked delay for the diagnosis of this disease in our setting.

scholarly journals Acute “Pseudoischemic” ECG Abnormalities after Right Pneumonectomy

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Nada Vasic ◽  
Sanja Dimic-Janjic ◽  
Ruza Stevic ◽  
Branislava Milenkovic ◽  
Verica Djukanovic
Keyword(s):  
Acute Coronary Syndrome ◽  
Myocardial Ischemia ◽  
Heart Rhythm ◽  
Diagnostic Procedures ◽  
Final Diagnosis ◽  
Acute Myocardial Ischemia ◽  
Ecg Changes ◽  
Postpericardiotomy Syndrome ◽  
Coronary Syndrome ◽  
Ecg Abnormalities

New onset of electrocardiographic (ECG) abnormalities can occur after lung surgery due to the changes in the position of structures and organs in the chest cavity. The most common heart rhythm disorder is atrial fibrillation. So-called “pseudoischemic” ECG changes that mimic classic ECG signs of acute myocardial ischemia are also often noticed. We report the case of a 68-year-old male, with no prior cardiovascular disease, who underwent extensive surgical resection for lung cancer. On a second postoperative day, clinical and electrocardiographic signs of acute myocardial ischemia occurred. According to clinical course, diagnostic procedures, and therapeutic response, we excluded acute coronary syndrome. We concluded that physical lesion of the pericardium, caused by extended pneumonectomy with resection of the pericardium, provoked the symptoms and ECG signs that mimic acute coronary syndrome. Our final diagnosis was postpericardiotomy syndrome after extended pneumonectomy and further treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) was recommended. It is necessary to consider possibility that nature of ECG changes after extended pneumonectomy could be “pseudoischemic.”

Impalpable testis: Laparoscopy or inguinal canal exploration?

2008 ◽  
Vol 42 (2) ◽  
pp. 154-157 ◽  
Author(s):  
Farzaneh Sharifiaghdas ◽  
Faramarz M. A. Beigi
Keyword(s):  
Inguinal Canal ◽  
Impalpable Testis

scholarly journals Topographic and Anatomical Evaluation of the Effectiveness of Various Methods Reducing the Height of the Inguinal Space Used in Hernioplasty for Inguinal Hernias

2018 ◽  
Vol 7 (2) ◽  
pp. 95-98
Author(s):  
A. V. Chernykh ◽  
E. I. Zakurdaev ◽  
A. M. Zaytseva
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Anatomical Study ◽  
Exclusion Criteria ◽  
Triangular Form ◽  
Safe Method ◽  
Before And After ◽  
Male Subjects ◽  
Relaxing Incisions

Purpose - to evaluate efficiency of different methods reducing height of the inguinal canal with apply in inguinal hernia repair in randomized topographic anatomical study. Material and methods. The randomized topographic anatomical study was performed on 24 unfixed cadavers of male subjects who died at the age of 50.2±6.8 years. The criterion for inclusion in the study was a triangular form of the inguinal canal with a height 2-3 cm. Postoperative cicatrices in the inguinal region, signs of the inguinal hernia and lipoma of the spermatic cord were exclusion criteria. We determined the height of the inguinal canal before and after apply different methods for reducing of this parameter. Results. The dynamic of decrease of the height of the inguinal canal in case apply new method was 30% (from 2.3±0.3 to 1.6±0.2 cm). This result is comparable with the relaxing incision by C. B. MacVay (32%; 2.2±0.4 to 1.5±0.5 cm) and it is larger than the relaxing incisions by R. I. Venglovsky (25%; 2.4±0.2 to 1.8±0.4 cm) and M. M. Ginsberg (14%; 2.2±0.4 to 1.9±0.3 cm). In this case, to apply the performed method compared to relaxing incisions does not destruction of the anterior rectus and appearance of the new hernia portal in the abdominal wall. Conclusion. The developed method of reducing height of the inguinal canal is recommended for approbation in clinical practice because it is effective and safe method.

scholarly journals Liver and splenic sarcoidosis: Diagnostic procedures

2004 ◽  
Vol 57 (9-10) ◽  
pp. 462-466 ◽  
Author(s):  
Vesna Skodric-Trifunovic ◽  
Violeta Vucinic ◽  
Radoje Colovic ◽  
Jelica Videnovic-Ivanov ◽  
Vladimir Zugic ◽  
...  
Keyword(s):  
Diagnostic Procedure ◽  
Diagnostic Procedures ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Pulmonary Diseases ◽  
Important Criterion ◽  
Chronic Patients ◽  
Significant Parameter ◽  
Abdominal Organs ◽  
Clinical Center

Introduction Clinical studies indicate involvement of the liver and spleen in approximately 20-30% of patients affected with sarcoidosis and their detection should be based on a standardized diagnostic procedure. Diagnostic procedures Ultrasonography is a reliable and safe method to assess changes related to size and structure of the affected organs that are pathognomonic for sarcoidosis. Further evaluation may include computerized tomography or magnetic resonance, while percutaneous needle aspiration biopsy or laparoscopy may also be applied when indicated. The most important criterion used for final diagnosis is pathohistological evidence of epithelioid noncaseating granuloma in bioptic material along with already established sarcoidosis of the lungs or some other organ. Material and methods The study on the incidence of liver and spleen sarcoidosis included a group of 130 patients affected with sarcoidosis hospitalized at the Institute of Pulmonary Diseases and Tuberculosis, Clinical Center of Serbia, over the period 2002-2003. Results The analysis evidenced that 31.5% of sarcoidosis patients had pathognomonic echographic findings of abdominal organs: splenomegaly (13%), hepatomegaly (10.8%) and hepatosplenomegaly (7.7%). Three patients underwent surgical treatment of liver and spleen sarcoidosis. Conclusion Pathognomonic findings of liver and spleen sarcoidosis were evidenced in approximately one third of sarcoidosis cases and they represented a significant parameter for further therapy, particularly in chronic patients.

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