scholarly journals A Case Giving Proof of Pathogenesis of Abdominoscrotal Hydrocele: A Case Report

2021 ◽  
Vol 27 (2) ◽  
pp. 91-94
Author(s):  
Hee Jo Yang ◽  
Myoung Won Son ◽  
Doo Sang Kim
Keyword(s):  
Abdominal Cavity ◽  
Surgical Excision ◽  
Cystic Mass ◽  
Palpable Mass ◽  
Lower Quadrant ◽  
Uncommon Condition ◽  
Abdominoscrotal Hydrocele ◽  
The Right ◽  
Right Lower Quadrant

An abdominoscrotal hydrocele (ASH) is an uncommon condition characterized by cystic mass that occupies the scrotum and abdomen. The characteristic aspect is the presence of two hydrocele sacs in the abdominal cavity and the scrotum, and compression of one side causes enlargement of the other side, thereby connecting the two sacs. There are several hypotheses regarding the occurrence of ASH. However, the evidence of the hypotheses is lacking. The patient was a 52-year-old male. During observation of the right inguinoscrotal hydrocele, the patient complained of a palpable mass lesion on the right lower quadrant of the abdomen. Physical examination revealed ASH that occurred with the growth of the inguinoscrotal hydrocele. This was further confirmed by sequential imaging test thereby proposing the verification of cephalad extension of hydrocele. The surgical excision was recommended and inguinal exploration was performed under general anesthesia. No evidence of relapse was observed during the 2-year follow-up period after surgery. The present case proves the cephalad extension of hydrocele among other hypotheses on the etiology of ASH.

The Management of Terminal Ileum Diverticulitis

2009 ◽  
Vol 75 (12) ◽  
pp. 1199-1202 ◽  
Author(s):  
Hyoung-Chul Park ◽  
Bong Hwa Lee
Keyword(s):  
Clinical Features ◽  
Terminal Ileum ◽  
Nonoperative Management ◽  
Perforated Diverticulitis ◽  
Radiographic Evaluation ◽  
Lower Quadrant ◽  
Average Hospital ◽  
The Right ◽  
Right Lower Quadrant

Terminal ileum diverticulitis is a very rare disease that may lead to an acute abdomen mimicking appendicitis. Because of its rarity, an optimal treatment for this disease has not been established yet. In this study, we evaluated the clinical features and outcomes of nonoperative management of terminal ileum diverticulitis, including suspected perforation. From 2000 to 2007, 346 patients were treated for acute symptomatic right-sided diverticulitis. Radiographic evaluation revealed that nine patients (2.6%) had terminal ileum diverticulitis. All patients presented with pain in the right lower quadrant. The clinical features and outcomes, including recurrence, were evaluated from a collected database and by phone interview. The average age of the patients was 43.7 years. Radiographic imaging was used to diagnose diverticulitis in all patients. Two of nine patients had suspected perforated diverticulitis, and three patients had multiple diverticula. Nonoperative management was successfully carried out on these patients. The average hospital stay was 8 days and the duration of antibiotic treatment was 6.4 days. The median follow-up was 36 months, and patients showed no recurrence within this interval. Nonoperative management may be feasible to treat terminal ileum diverticulitis.

scholarly journals Appendiceal Mucocele Presenting as a Right Adnexal Mass: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Grigor Gortchev ◽  
Slavcho Tomov ◽  
Dobromir Dimitrov ◽  
Vasil Nanev ◽  
Tatyana Betova
Keyword(s):  
Adnexal Mass ◽  
Abdominal Mass ◽  
Gynecologic Oncology ◽  
Cystic Mass ◽  
Tumor Removal ◽  
Lower Quadrant ◽  
Surgical Specimen ◽  
Mucocele Of The Appendix ◽  
The Right ◽  
Right Lower Quadrant

A 68-year-old female presented to the Gynecologic Oncology Clinic with a right-lower quadrant abdominal mass  cm in diameter palpable on pelvic examination. Her routine laboratory tests were normal. Transvaginal ultrasonography revealed a cystic mass in the right adnexa 3.9 cm in diameter, which was thought to arise in the ovary. At the time of laparoscopy, a  cm tumor arising from the distal end of the appendix was noted. A laparoscopic appendectomy with tumor removal was performed. Histologic examination of the surgical specimen revealed a mucocele of the appendix (AM). Although rare, this tumor should be considered in the differential diagnosis of a right adnexal mass. These tumors can be identified laparoscopically and removed by minimally invasive surgery.

scholarly journals Percutaneous internal suturing procedure for a posttraumatic abdominal wall “handlebar hernia”

2021 ◽  
Vol 70 (1) ◽  
pp. 80-83
Author(s):  
Maria Popescu ◽  
◽  
Gabriel Dragan ◽  
Keyword(s):  
Abdominal Wall ◽  
Pediatric Population ◽  
Traumatic Injury ◽  
Internal Ring ◽  
Lower Quadrant ◽  
Handlebar Hernia ◽  
Suturing Technique ◽  
The Right ◽  
Right Lower Quadrant

Posttraumatic abdominal wall hernias are extremely rare and are the result of the wall impact with an object that does not break the skin but has enough energy to disrupt the underlying muscular and fascia layers. One of the most frequent mechanisms for the pediatric population is the handle bar traumatic injury. We present the case of a 13-year-old male patient that was diagnosed with posttraumatic handlebar hernia in the right lower quadrant after performing a CT scan examination. The chosen surgical procedure was to repair the abdominal defect using an adaptation of the PIRS (percutaneous internal ring suturing) suturing technique assisted laparoscopically. The follow up of the case was uneventful.

scholarly journals Three-Dimensional Computed Tomography Follow-Up on Spontaneous Bone Healing after Excision of Periorbital Dermoid Cyst: A Case Report

2021 ◽  
Vol 17 (3) ◽  
pp. 213-217
Author(s):  
Hannara Park ◽  
Jaemin Seong ◽  
Hyochun Park ◽  
Hyeonjung Yeo
Keyword(s):  
Computed Tomography ◽  
Dermoid Cyst ◽  
Three Dimensional ◽  
Surgical Excision ◽  
Complete Recovery ◽  
Bony Defect ◽  
Palpable Mass ◽  
Nodular Lesions ◽  
The Right

Dermoid cysts are among the most common periorbital and orbital tumors presenting in childhood. Several studies have shown that dermoid cysts may deform adjacent bones; however, few studies have followed the course of bone regeneration after the excision of a cyst. We report a case of a 29-month-old female infant who presented with a palpable mass over her right lateral eyebrow. Ultrasonography findings suggested a dermoid cyst, and computed tomography revealed a 2.1-cm round bony defect in the right zygoma. After surgical excision of the dermoid cyst, we successfully applied fibrin sealant to eliminate the dead space. Pathological findings showed nodular lesions with flat cystic walls containing lamellated keratin and sebaceous glands, supporting the diagnosis of dermoid cyst. At 6 months postoperatively, a follow-up computed tomography scan confirmed complete recovery of the bone defect in the right zygoma.

scholarly journals Cardiac metastases from primary myxoid liposarcoma of the thigh: A case report

2020 ◽  
Author(s):  
Kunihiro Ikuta ◽  
Tomohisa Sakai ◽  
Hiroshi Koike ◽  
Tohru Okada ◽  
Shiro Imagama ◽  
...  
Keyword(s):  
Metastatic Disease ◽  
Abdominal Cavity ◽  
Surgical Excision ◽  
Myxoid Liposarcoma ◽  
Wide Resection ◽  
Cardiac Metastasis ◽  
Multiple Metastases ◽  
Cardiac Metastases ◽  
The Right

Abstract BackgroundMyxoid liposarcoma is well known to have an unusual proclivity for extrapulmonary metastasis. However, cardiac metastasis of myxoid liposarcoma is very rare, even in patients with advanced disease.Case presentationA 40-year-old man was diagnosed with myxoid liposarcoma of the right thigh and treated with wide resection. Two years after the surgery, a low-density area in the left ventricle was found on follow-up chest computed tomography, and was suspected of being metastatic disease. He underwent surgical treatment, and the lesion was pathologically confirmed as metastasis of myxoid liposarcoma. Fifteen months later, he complained of slight dyspnea and developed metastatic disease in the right atrium. He was treated with surgical excision, followed by radiotherapy. Although there was no recurrence in the heart since the second cardiac metastasectomy, multiple metastases occurred in the abdominal cavity, lungs, and muscles. He finally died of the disease two years after the second cardiac metastasectomy.ConclusionWe experienced a case of primary myxoid liposarcoma in the thigh, accompanied by ectopic and metachronous cardiac metastases. Although this condition is rare, we should follow-up patients with myxoid liposarcoma, considering the possibility of cardiac metastasis.

A rare case of retroperitoneal teratoma with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome

2021 ◽  
Vol 14 (5) ◽  
pp. e243302
Author(s):  
Kazuki Mitani ◽  
Elena Yukie Uebayashi ◽  
Hisanori Fujino ◽  
Shinichi Sumimoto
Keyword(s):  
Good Condition ◽  
Surgical Excision ◽  
Abdominal Distension ◽  
Cystic Mass ◽  
Renal Anomaly ◽  
Complete Surgical Excision ◽  
Ohvira Syndrome ◽  
Obstructed Hemivagina ◽  
The Right

A 9-month-old girl presented with progressive abdominal distension. Imaging revealed a huge cystic mass in the left retroperitoneum with solid components. The right kidney was absent and hydrometrocolpos was found. Tumour drainage and complete surgical excision were performed. A bulge in the right side of the uterus, suggestive of a uterine anomaly, was seen on laparoscopic observation. Pathology was consistent with teratoma with a small portion of immature neural tissue. The patient was discharged in good condition and was advised regular follow-up.

scholarly journals Laparoscopic Right Hemicolectomy for Appendiceal Mucocele

2021 ◽  
Vol 64 (3) ◽  
pp. 165-169
Author(s):  
Eva Kudelová ◽  
Martin Grajciar ◽  
Marek Smolar ◽  
Michal Kalman ◽  
Ludovit Laca
Keyword(s):  
Surgical Treatment ◽  
Acute Appendicitis ◽  
Right Hemicolectomy ◽  
Cystic Mass ◽  
Lower Quadrant ◽  
Appendiceal Mucocele ◽  
Laparoscopic Right Hemicolectomy ◽  
The Right ◽  
Right Lower Quadrant ◽  
Ct And Mri

Appendiceal mucocele is a rare disease with an incidence of 0.07–0.63% of all appendectomies and was first described in 1842 by Carl von Rokitansky. It is defined as an abnormal intraluminal accumulation of mucin. The clinical picture of AM can vary from asymptomatic mass in the right lower quadrant to symptoms of acute appendicitis. In some cases, AM can be found accidentally on CT performed due to other reasons or during surgery. Diagnosis consists mainly of imaging methods such as ultrasound, CT, and MRI with the finding of encapsulated cystic mass with calcifications. The main goal of surgical treatment is to remove an intact mucocele and prevent spillage of mucin into the peritoneal cavity. We present a case of large mucocele treated with laparoscopic right hemicolectomy.

scholarly journals Branchial Cyst in the Parapharyngeal Space: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Iyad Said Hamadi ◽  
Lubna Lutfi ◽  
Asma Anan Mohammed ◽  
Zahr Alkhadem
Keyword(s):  
Branchial Arch ◽  
External Carotid Artery ◽  
Cystic Mass ◽  
External Carotid ◽  
Lateral Side ◽  
Branchial Cyst ◽  
Embryonic Life ◽  
Branchial Cleft ◽  
The Right

Branchial cleft cysts are congenital anomalies that most commonly arise from a failure of fusion of the second branchial arch during embryonic life. They usually present as a swelling in the lateral side of the neck, below the mandible. In this article, we present a case of a 28-year-old female patient with a right branchial cyst measuring 7 × 6 × 5 cm, who presented with an asymptomatic, rapidly growing mass in the right anterior triangle of the neck that abutted the right external carotid artery, leading to stenosis of the vessel that is preceded by dilatation above the site of compression. She underwent excision of the cystic mass with preservation of the facial nerve and presented no active complaints on follow-up a few weeks postoperatively.

scholarly journals Intestinal obstruction caused by pericecal internal herniation

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Floris B Poelmann ◽  
Ewoud H Jutte ◽  
Jean Pierre E N Pierie
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Treatment Preference ◽  
Treatment Modalities ◽  
Internal Herniation ◽  
Lower Quadrant ◽  
Surgical History ◽  
The Right ◽  
Right Lower Quadrant

Abstract Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.

Appendicitis: a rare adverse event in colonoscopy

2021 ◽  
Vol 14 (7) ◽  
pp. e242523
Author(s):  
Samer Al-Dury ◽  
Mohammad Khalil ◽  
Riadh Sadik ◽  
Per Hedenström
Keyword(s):  
Emergency Department ◽  
Adverse Event ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Physical Examination ◽  
De Novo ◽  
Perforated Appendicitis ◽  
Lower Quadrant ◽  
The Right ◽  
Right Lower Quadrant

We present a case of a 41-year-old woman who visited the emergency department (ED) with acute abdomen. She was diagnosed with perforated appendicitis and abscess formation on CT. She was treated conservatively with antibiotics and discharged. On control CT 3 months later, the appendix had healed, but signs of thickening of the terminal ileum were noticed and colonoscopy was performed, which was uneventful and showed no signs of inflammation. Twelve hours later, she developed pain in the right lower quadrant, followed by fever, and visited the ED. Physical examination and blood work showed signs consistent with acute appendicitis, and appendectomy was performed laparoscopically 6 hours later. The patient recovered remarkably shortly afterwards. Whether colonoscopy resulted in de novo appendicitis or exacerbated an already existing inflammation remains unknown. However, endoscopists should be aware of this rare, yet serious complication and consider it in the workup of post-colonoscopy abdominal pain.

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