scholarly journals Unusual complications of hypospadias repair: diagnosis and management

2019 ◽  
Vol 7 (9) ◽  
pp. 3440
Author(s):  
Rama Kishan Saran ◽  
Kiran Mirdha ◽  
Sanya Saran ◽  
Rajendra Prasad Takhar
Keyword(s):  
Late Complication ◽  
Late Complications ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Hypospadias Repair ◽  
Inclusion Cyst ◽  
Complete Excision ◽  
Epidermal Inclusion Cyst ◽  
One Year ◽  
Slow Growing

Background: Epidermal inclusion cyst, smegma stones and urethral calculi of the penis are rare and may result as a late complication of hypospadias repair. This study reported the presentation and management of these late complications.Methods: A prospective observational study included male patients aged more than 6 years of age, who had undergone hypospadias repair 3-15 years back and presented with slow growing, non-tender, mobile, firm to hard swelling. Histopathological and radiographic examination were done and surgery was used for management of epidermal inclusion cyst, urethral calculi and smegma stone. Patients were followed up for one year, postoperatively.Results: Out of 15 patients, two (13.3%), four (26.7%) and nine (60%) patients were diagnosed with smegma stones, epidermal inclusion cyst and urethral calculi, respectively. The median (range) age of patients was 17 (8-30) years. Patients were presented with slow growing, non-tender, mobile swelling measuring from 1 cm x 3 cm to 2 cm x 1.5 cm. The average size of epidermal inclusion cyst, and urethral calculi was 2 cm x 2.5 cm x 1.5 cm, and 2 cm x 3 cm, respectively. Treatment were complete excision of cyst and removal of smegma stones by surgery and urethral calculi by dorsal urethrotomy. All patients had an uneventful postoperative period and were asymptomatic up to one year of follow-up.Conclusion: Results suggest that these complications can be managed with complete excision and surgical removal and care must be taken while performing the hypospadias repair to avoid these unusual late complications in patients.

scholarly journals Tenon’s Cyst Presenting as a Long-Term Complication following Incision Cataract Surgery

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Prabhakar Srinivasapuram Krishnacharya
Keyword(s):  
Cataract Surgery ◽  
Male Patient ◽  
Late Complication ◽  
Cyst Formation ◽  
Complete Excision ◽  
Scleral Tunnel ◽  
Extracapsular Cataract Surgery ◽  
Bleb Formation ◽  
One Year ◽  
The Right

Context.Tenon’s cyst or conjunctival cyst formation is not uncommon late complication of traditional extracapsular cataract surgery; however, few reports are available in the literature.Aims.Large cystic swellings were clinically diagnosed as filtering blebs at the cataract incision site in two patients. The purpose of the case presentation is to discuss the factors leading to cyst formation, visual loss and cyst recurrence after its excision.Patients and Methods. Case 1.Sixty-one-year-old male patient presented with a bleb at superior limbal region in the right eye, two years after cataract surgery.Case 2.A giant bleb was found at the same region in the right eye of a 65-year-old male patient, eight years after cataract surgery.Results.Complete excision of the cyst was performed with conjunctival autograft in the first patient and followed up for two years. No recurrence of the cyst was observed. Internal wound gaping was seen on gonioscopy in the second patient.Conclusions.Unstable scleral tunnel could explain bleb formation in both the patients. Complete bleb excision with conjunctival auto-graft resulted in closure of the defect with no bleb recurrence during two-year follow-up. Over-filtration causing hypotonic maculopathy was the reason for decreased vision in the second case.

scholarly journals Penile Epidermal Inclusion Cyst

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
M. El-Shazly ◽  
A. Ghobashy ◽  
A. Allam ◽  
T. Alenezy ◽  
N. Alenezy ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Inclusion Cyst ◽  
Urethrocutaneous Fistula ◽  
Complete Excision ◽  
Epidermal Inclusion Cyst

We report a case of epidermal inclusion cyst in a 32-year-old male. This was a complication of circumcision that was neglected over years to form stones and urethrocutaneous fistula. Complete excision of the cyst and repair of the fistula were performed successfully. Histopathological examination confirmed our diagnosis.

scholarly journals Complications of arteriovenous fistula for haemodialysis access

2018 ◽  
Vol 5 (2) ◽  
pp. 439
Author(s):  
Susan Johny ◽  
Basant Pawar
Keyword(s):  
Late Complication ◽  
Late Complications ◽  
Christian Medical College ◽  
Systemic Hypertension ◽  
P Value ◽  
Early Complication ◽  
Arteriovenous Fistulae ◽  
Medical College ◽  
Arteriovenous Access ◽  
One Year

Background: This study was conducted to determine the complications of arteriovenous fistulae created for haemodialysis access in Christian Medical College, Ludhiana. The complications were classified as early and late complications.Methods: This study was a one year retrospective and one year prospective study conducted in the Department of Surgery and Nephrology, Christian Medical College and Hospital, Ludhiana. After determination of the appropriate limb for surgery, arteriovenous fistulae were done under local anaesthesia in the operation theatre. All anastomosis was end (vein) to side (artery) and were done by using 6’0’ prolene. The fistula created was monitored for a good thrill, pulse, and any immediate complication such as bleeding or thrombosis. After four to six weeks, a fistula with a good thrill was considered to be mature and was subjected to cannulation and then haemodialysis. The fistula flow rate was recorded at initiation of haemodialysis and after four weeks of haemodialysis. A nine month follow up study was done, and the late complications of the fistulae were also noted.Results: Early complication was defined as complications arising within one month of creation of fistula, i.e. before maturation. The most common early complication was thrombus (8.5%). The second frequent complication was wound infection (3.4%). The most common late complication was thrombosis (18.6%). The second common late complication was pseudoaneurysm (4.23%). There was a statistically significant correlation between development of late complications with Diabetes Mellitus Type 2, Systemic Hypertension and history of I/V cannulation and IJV insertion in the study population (p value - 0.000).Conclusions: This study has thus demonstrated that the vascular unit of General Surgery in Christian Medical College, Ludhiana is making arteriovenous access for haemodialysis at a rate comparable to other centres in India and worldwide. The early and late complications were also similar to other data available in India.

Penile Epidermal Inclusion Cyst: A Late Complication of Penile Girth Enhancement Surgery

2008 ◽  
Vol 5 (9) ◽  
pp. 2238-2240 ◽  
Author(s):  
Hyun Jun Park ◽  
Nam Cheol Park ◽  
Sung Woo Park ◽  
Tae Kyung Jern ◽  
Kyung-Un Choi
Keyword(s):  
Late Complication ◽  
Inclusion Cyst ◽  
Epidermal Inclusion Cyst

Epidermal inclusion cyst of the sole

1974 ◽  
Vol 109 (2) ◽  
pp. 251-252 ◽  
Author(s):  
K. E. Greer
Keyword(s):  
Inclusion Cyst ◽  
Epidermal Inclusion Cyst

Ameloblastic Fibroma Associated With Impacted 3rd Molar: A Case Report

2017 ◽  
Vol 1 (7) ◽  
pp. 18-21
Author(s):  
K Indira Priyadarshini ◽  
Karthik Raghupathy ◽  
K V Lokesh ◽  
B Venu Naidu
Keyword(s):  
Relative Frequency ◽  
Posterior Region ◽  
Radiographic Examination ◽  
Dental Eruption ◽  
Ameloblastic Fibroma ◽  
Odontogenic Origin ◽  
The Common ◽  
The Times ◽  
The Right ◽  
Slow Growing

Ameloblastic fibroma is an uncommon mixed neoplasm of odontogenic origin with a relative frequency between 1.5 – 4.5%. It can occur either in the mandible or maxilla, but predominantly seen in the posterior region of the mandible. It occurs in the first two decades of life. Most of the times it is associated with tooth enclosure, causing a delay in eruption or altering the dental eruption sequence. The common clinical manifestation is a slow growing painless swelling and is detected during routine radiographic examination. There is controversy in the mode of treatment, whether conservative or aggressive. Here we reported a 38 year old male patient referred for evaluation of painless swelling on the right posterior region of the mandible associated with clinically missing 3rd molar. The lesion was completely enucleated under general anesthesia along with the extraction of impacted molar.

Ruptured plantar epidermal inclusion cyst.

1998 ◽  
Vol 171 (6) ◽  
pp. 1709-1710 ◽  
Author(s):  
A R Fisher ◽  
P H Mason ◽  
K S Wagenhals
Keyword(s):  
Inclusion Cyst ◽  
Epidermal Inclusion Cyst

Alternative pulmonary artery reconstruction technique in the arterial switch operation

2021 ◽  
Author(s):  
Hisayuki Hongu ◽  
Masaaki Yamagishi ◽  
Yoshinobu Maeda ◽  
Keiichi Itatani ◽  
Masatoshi Shimada ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Arterial Switch Operation ◽  
Late Complication ◽  
Late Complications ◽  
Reconstruction Technique ◽  
Reconstruction Method ◽  
Arterial Switch ◽  
Switch Operation ◽  
Longitudinal Extension

Abstract OBJECTIVES Late complications of arterial switch operations (ASO) for transposition of the great arteries, such as neo-pulmonary artery (PA) stenosis and/or neoaortic regurgitation, have been reported. We developed an alternative reconstruction method called the longitudinal extension (LE) method to prevent PA bifurcation stenosis (PABS). METHODS We identified 48 patients diagnosed with transposition of the great arteries and performed ASO using the Lecompte manoeuvre for neo-PA reconstruction. In 9 consecutive patients (from 2014), the LE method was performed (LE). Before 2014, conventional techniques were performed in 39 patients (C). The median body weight and age in the LE and C groups were 3.0 and 3.1 kg and 12 and 26 days, respectively. In the LE group, 1 patient underwent bilateral PA banding before ASO. In C, PA banding and arch repair were performed in 1 patient each. Patients who received concomitant procedures were included. RESULTS The median follow-up in LE and C groups was 1.9 and 10.1 years, respectively. Early mortality/late death was not found in group LE and in 1 patient in group C. Only 1 case required ascending aorta sliding plasty in LE, and 8 patients needed PA augmentation for PABS in C. The median velocity of right/left PA was measured as 1.6/1.9 m/s in LE and 2.1/2.3 m/s in C, so it showed a lower value in LE. CONCLUSIONS Excellent mid-term results were obtained with the LE method. It was considered a useful procedure in preventing PABS, which is a primary late complication of ASO. Further follow-up and investigations are needed.

scholarly journals Hidradenoma papilliferum of the hymen: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ozer Birge ◽  
Mehmet Sait Bakır ◽  
Ceyda Karadag ◽  
Zivar Eldarova ◽  
Tayup Simsek
Keyword(s):  
Benign Neoplasm ◽  
Surgical Removal ◽  
Apocrine Glands ◽  
Sexually Transmitted ◽  
Anogenital Region ◽  
Hidradenoma Papilliferum ◽  
Anogenital Area ◽  
Slow Growing

Abstract Background Hidradenoma papilliferum is a rare benign neoplasm arising from apocrine glands. It occurs commonly on the anogenital region of middle-aged women. It usually presents as a slow growing, solitary asymptomatic, skin colored or red nodule less than 1 cm in diameter. Case presentation The case is a 38-year-old, white woman who presented with a painful nodule occurring within a month in the himenal region of the posterior vaginal introitus. The nodule was excisied and the histology revealed a hidradenoma papilliferum. The diagnosis and treatment of hidradenoma papilliferum is possible with surgical removal and histopathological evaluation of nodules. Conclusion When an adult woman presents with a noduler lesion in the anogenital area, sexually transmitted diseases and other benign and malignant vulvar lesions, as well as malignant transformation is very rare but,should be kept in mind; however because it has been reported and long-term clinical follow-up is suggested

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