scholarly journals ABDOMINOSCROTAL HYDROCELE IN AN INFANT

2019 ◽  
Vol 23 (4) ◽  
pp. 218-219
Author(s):  
A. E. Mashkov ◽  
Viacheslav V. Slesarev ◽  
E. Z. Druzyuk
Keyword(s):  
Rare Case ◽  
Inguinal Canal ◽  
Abdominal Cavity ◽  
Sperm Duct ◽  
X Ray ◽  
Ct Examination ◽  
Abdominoscrotal Hydrocele ◽  
Preliminary Separation ◽  
The Right

The authors describe a rare case of abdominocrotal hydrocele in an infant. A huge cyst of the abdominal cavity was found at the sonographic and X-ray CT examination of the abdominal cavity. During surgery, a giant hydrocele sized 8.0 x 7.0 cm and having communication with the right inguinal canal and scrotum was revealed in the abdominal cavity. The cyst was removed after a preliminary separation of a 15 cm sperm duct which was located along the posteromedial surface of the cyst. After the surgery, the infant recovered completely.

Laparoscopic Treatment of Hydrocele of the Canal of Nuck in Pediatric Patients

2017 ◽  
Vol 28 (04) ◽  
pp. 378-382 ◽  
Author(s):  
Sung Lee
Keyword(s):  
Pediatric Patients ◽  
Inguinal Canal ◽  
Abdominal Cavity ◽  
Operating Time ◽  
High Ligation ◽  
Canal Of Nuck ◽  
The Mean ◽  
The Right ◽  
Short Operating Time

Introduction Hydrocele of the canal of Nuck (HCN) causes an inguinal swelling in pediatric females similar to that observed in case of inguinal hernia. HCN should be considered in the differential diagnosis of hernia in such children. Although laparoscopic operations have been reported in several cases for the treatment of HCN in adults, they have not been reported for the treatment in pediatrics. This study aimed to evaluate the outcomes of laparoscopic intracorporeal hydrocelectomy with high ligation as a treatment for HCN in pediatrics. Materials and Methods I retrospectively reviewed the charts of 26 pediatric females aged ≤10 years who underwent laparoscopic hydrocelectomy with high ligation at Damsoyu Hospital, Seoul, Republic of Korea from September 2012 to December 2016. Results The mean age was 3.31 (1–10) years. HCN was on the right in 11 patients and on the left in 15. The presenting symptom in all cases was inguinal swelling. HCN was of the hourglass type inside the inguinal canal in 17 patients and in the abdominal cavity outside the inguinal canal in 9. All patients were treated with laparoscopic hydrocelectomy with high ligation. The mean operating time was 17.8 minute (15–30). The wounds were scarcely visible immediately after surgery. There were no postoperative complications and no recurrences on follow-up. Conclusion Laparoscopic intracorporeal hydrocelectomy with high ligation is effective for HCN in pediatrics owing to its short operating time, excellent cosmesis, and no recurrence.

scholarly journals Macrodystrophia Lipomatosa Extending Into the Abdominal Wall and Breast: A Case Report

2020 ◽  
Author(s):  
Jian Liu ◽  
Jiaming Sun ◽  
Liang Guo ◽  
Zhenxing Wang ◽  
Nengqiang Guo
Keyword(s):  
Computed Tomography ◽  
Abdominal Wall ◽  
Lower Limb ◽  
Rare Case ◽  
Left Breast ◽  
Fatty Tissue ◽  
X Ray ◽  
Macrodystrophia Lipomatosa ◽  
One Year ◽  
The Right

Abstract BackgroundMacrodystrophia lipomatosa is a rare nonhereditary congenital gigantism, characterized by overgrowth of mesenchymal and fibro-adipose tissue, affecting one or more digits of the extremities. Here, we report a rare case of macrodystrophia lipomatosa of the entire right lower limb with extension of hypertrophied fatty tissue into the abdominal wall and breast. Case presentationA 32 years old woman was born with abnormally elongated and thickened right leg, and the condition aggravated gradually. The disease was multiple, including the right leg, right abdominal wall, and the left breast were also involved. The patient mainly complained that she was unable to walk but with the knee flexed. Physical examination revealed that the elongation and thickening was proportional to the left leg, and the involved joints were malformed and dysfunction. X-ray and Computed tomography angiography (CTA) showed the bones and vessels were elongated and thickened, and the joints were hypertrophic and swollen. Amputation, volume reduction and liposuction was performed on the lesions. Histological examination could see abnormal fibro-fatty tissue hyperplasia, the adipocytes were invasive, and part of muscles presented fat degeneration. The lesions showed no recurrence for one year after surgery.ConclusionAfter reviewing the literature of the macrodystrophia lipomatosa, we believed that our case was rare because the hypertrophied fatty tissue extended into the abdominal wall and breast, which was different from former studies and had not been documented worldwide. This novel case will further deepens the understanding of this disease, and will be useful for clinicians in diagnosing it.

Scientific Meetings of Physicians of the V.I. Lenin Kazan State Institute for Advanced Training of Physicians

1927 ◽  
Vol 23 (10) ◽  
pp. 1082-1084
Keyword(s):  
Large Intestine ◽  
Abdominal Cavity ◽  
Advanced Training ◽  
Intestinal Development ◽  
State Institute ◽  
X Ray ◽  
Embryonic Period ◽  
Scientific Meetings ◽  
The Right

Dr. B. A. Ostroumov: A case of left-sided position of the large intestine. Noting the rarity of such an anomaly explained by the conditions of intestinal development in the embryonic period, the speaker demonstrated a patient who had undergone surgery for appendicitis, and on opening the abdominal cavity no large intestine was found in the right side of the abdomen. X-ray examination after the operation revealed the left-sided position of the latter.

CASE OF DU PERFORATION WITH SECONDARY OMENTAL NECROSIS- A RARE CASE REPORT

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Radha Krishna K ◽  
Dr. Bushra Khan ◽  
Dr. Atif Abdul Samee ◽  
Dr. Syed Mujtaba Ibrahim
Keyword(s):  
Rare Case ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
High Grade Fever ◽  
Persistent Vomiting ◽  
X Ray ◽  
Omental Infarction ◽  
Rare Case Report ◽  
Abdominal Examination ◽  
The Right

Introduction: The Omentum is rich in blood supply. Omental Infarction can be classified as primary or secondary depending on the pathogenesis. Aims and Objectives: To report a case of DU perforation with secondary Omental Infarction. Case Details: A 21 year old male patient came with complaints of generalized dull aching abdominal pain, associated with persistent vomiting and high grade fever since 3 days. On examination, he was drowsy, BP was not recordable and peripheral pulses were not palpable. Abdominal examination revealed guarding and rigidity. X-ray erect abdomen showed gas under the right dome of the diaphragm (pneumoperitoneum). The patient was taken up for an exploratory laparotomy. Intraoperatively, findings included: 1) A 0.5*0.5cm in size perforation over the anterior first part of the duodenum, 2) approximately 3L of haemorrhagic peritoneal fluid 3) necrosed omentum and 4) petechial patches over the parietal wall of peritoneum. Primary repair of the DU perforation with omental plug (modified graham’s repair) with omentectomy of the necrosed part of omentum was done. The HPE report of excised specimen of omentum was suggestive of intense congestion and necro-inflammatory reaction of the omentum with necrosis and netrophilic infiltrate. Conclusion: A rare case of DU perforation with secondary omental necrosis is being reported. Keywords: DU Perforation; Omental Necrosis; Omental Infarction; Modified Graham’s patch Abbreviations: OI- Omental Infarction, DU- Duodenum.

scholarly journals The Sonographic Appearance of Polyorchidism: A Multiple Case Report

2019 ◽  
Vol 35 (6) ◽  
pp. 499-503
Author(s):  
Eric S. Schafer
Keyword(s):  
Case Report ◽  
Inguinal Canal ◽  
Tunica Albuginea ◽  
Abdominal Cavity ◽  
Testicular Tissue ◽  
Tunica Vaginalis ◽  
Sonographic Appearance ◽  
Multiple Case ◽  
The Right ◽  
Left Hemi

The traditional sonographic characteristic used to distinguish polyorchidism (PO) has been its homogeneous echotexture, which is similar or identical to the normal testicle. PO is most commonly found in the left hemi-scrotum but can also be identified in the right hemi-scrotum, inguinal canal, or abdominal cavity. The mediastinum of a testicle represents where the tunica vaginalis and tunica albuginea that encases a testicle folded back in on itself. The identification of a mediastinum in a scrotal lesion implies that testicular tissue is present. This series review presents three cases where PO was identified in the left hemi-scrotum. In addition to the classic homogeneous echotexture that is typically identified in an accessory testicle, a mediastinum was also appreciated in two of the cases, which helped to solidify the diagnosis of polyorchidism.

scholarly journals Tilting the balance: hemidiaphragm paralysis leading to right to left cardiac shunt

2018 ◽  
Vol 11 (1) ◽  
pp. bcr-2018-227944
Author(s):  
Ali Raza Ghani ◽  
Mohsin Hamid ◽  
Puneet Dhillon ◽  
Waqas Ullah
Keyword(s):  
Pulmonary Hypertension ◽  
Patent Foramen Ovale ◽  
Congenital Abnormality ◽  
Rare Case ◽  
Foramen Ovale ◽  
X Ray ◽  
Chest X Ray ◽  
The Right ◽  
Pfo Closure ◽  
Cardiac Shunt

Patent foramen ovale (PFO) is a congenital abnormality present in 25%–30% of healthy adults and rarely leads to any sequelae. 1 2 It is associated with a left-to-right shunt which usually does not lead to any haemodynamic compromise. Occasionally, the shunt can get reversed; that is, right-to-left shunt occurs due to worsening pulmonary hypertension and can lead to persistent hypoxia. It is rare for the shunt reversal to happen in the absence of pulmonary hypertension. Here, we present an exceedingly rare case in a 61-year-old man presenting with hypoxia, was found to have shunt reversal due to unilateral diaphragmatic paralysis. He was successfully treated with PFO closure. The purpose of this report is to consider rare possibilities of PFO shunt reversal when the right-sided heart pressure is normal and to highlight that a simple chest X-ray can be a clue to the diagnosis.

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.

scholarly journals A rare case of colonic perforation presenting as Fournier’s gangrene

2020 ◽  
Vol 7 (2) ◽  
pp. 569
Author(s):  
Haraesh Maranna ◽  
Pawan Lal ◽  
Lovenish Bains ◽  
Salil Yadav ◽  
Rahul Bhatia ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Rare Case ◽  
Inguinal Canal ◽  
Fournier’S Gangrene ◽  
Colonic Perforation ◽  
Fournier's Gangrene ◽  
Extensive Debridement ◽  
The Right

A 48-year-old obese gentleman with mild pain over abdomen for 10 days followed by pain and swelling in the right side of scrotum with skin discolouration for 2 days. Clinically necrotic patch with pus discharge was noted on the right side of scrotum. Extensive debridement over scrotum was done following which inflamed omentum and fecal contents were noticed from the inguinal canal. Patient underwent laparotomy and an ascending colonic perforation was found. A loop colostomy with partial omentectomy and inguinal hernia repair along with serial debridement of scrotal wound was done. Although uncommon, gastrointestinal perforations should be considered as a potential etiology in Fournier’s gangrene.

scholarly journals Inhalation of Pin - A Rare Case Report

2015 ◽  
Vol 1 ◽  
pp. 23-26
Author(s):  
Sandeep Kumar Kar ◽  
Deepanwita Das ◽  
Chaitali Sen ◽  
Riju Bhattacharya ◽  
Asit Munsi
Keyword(s):  
Rare Case ◽  
Main Bronchus ◽  
Lower Lobe ◽  
Basal Segment ◽  
X Ray ◽  
Rare Case Report ◽  
Chest X Ray ◽  
The Right ◽  
Lung Ct ◽  
Lung Ct Scan

A boy aged 1year presented with persistent cough, sputum and fever for last two months which is did not subside in spite of empirical mediacal therapy. For last 15 days symptoms started to aggravate and not responding to medical management. Chest X-ray showed a pin in the right main bronchus with more radiolucency of right lung. CT scan of chest revealed radiodense linear opacity in the right lower lobe primary and secondary bronchus with partial collapse consolidation of right lower lobe medial basal and lateral basal segment. Rigid bronchoscopic removal was tried but failed. Ultimately thoracotomy was done to remove the foreign body.

scholarly journals Bochdalek hernia in adults: A case report

2018 ◽  
Vol 75 (6) ◽  
pp. 628-631
Author(s):  
Anita Ivosevic ◽  
Ivana Meta-Jevtovic ◽  
Vojislav Cupurdija ◽  
Ivan Cekerevac ◽  
Aleksandar Radunovic ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Imaging Techniques ◽  
Main Bronchus ◽  
Abdominal Cavity ◽  
Proximal Part ◽  
Bochdalek Hernia ◽  
Hernia Sac ◽  
Hernial Sac ◽  
The Right

Introduction. Asymptomatic Bochdalek hernia in adults is a rarity. The aim of this paper is to present a rare case of Bochdalek hernia among adults and to point out to significance of clinical suspicion and important role of imaging techniques in reaching the exact diagnosis of this abnormality. Case report. A patient, aged 68 years, came to the Clinic of Pulmonology complaining of constant dyspnea, coughing and fatigue. Computed tomography (CT) findings were dominated by the large rear right diaphragmatic hernia with the hernial sac that reached the carina trachea and urged the principal bronchi. The stomach, duodenum and proximal part of jejunal winds, as well as a greater amount of omental and mesenteric adipose tissue were localized in hernial sac. Radiography of gastroduodenum showed: entry of the esophagus into the cardia was in the level of the right main bronchus. Stomach was mainly located in the chest (cardia, upper corpus half - to the level of the right main bronchus). Operation was indicated. First, we made right thoracotomy and the hernia sac was separated from the right lung and then we performed median laparotomy and the contents of the hernia sac were returned to the abdominal cavity; diaphragm defect was reconstructed with prolen mesh. Conclusion. We presented a rare case of right sided Bochdalek hernia which was discovered at late age and surgically treated with success.

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