scholarly journals A Rare Case: Bilateral Hydronephrosis Due to Bilateral Abdominoscrotal Hydrocele in an Infant

Author(s):  
Levent Cankorkmaz ◽  
Mehmet Haydar Atalar ◽  
İsmail Şalk ◽  
Gökhan Köyoğlu

Abdominoscrotal hydrocele is a rare entity and first described by Dupuytren in 1834. Its etiology is still unclear. Rare complications are hydroureter/hydronephrosis, testicular flattening and malignant mesothelioma of tunica vaginalis associated with intraabdominal testis in an abdominoscrotal hydrocele. Herein we report a 7-month-old boy with bilateral abdominoscrotal hydrocele with secondary bilateral hydronephrosis due to contiguous pressure. Bilateral hydrocelectomies were performed. The postoperative course was uneventful without complication. Six month after the operation the renal ultrasound was normal. This entity, although unusual, should be considered in the differential diagnosis of a lower abdominal mass in children, as well as a cause of hydronephrosis. After surgical removal, healing is usually complete, including regression of the hydronephrosis.

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
N. Srikant ◽  
Shweta Yellapurkar ◽  
Karen Boaz ◽  
Mohan Baliga ◽  
Nidhi Manaktala ◽  
...  

Polycystic (dysgenetic) disease of the salivary glands is a rare entity that has only recently been described in the literature. The disease is more commonly seen in females and majority of the cases have presented as bilateral parotid gland swellings. This case presenting in a 21-year-old male is the first of this unusual entity involving solely the minor salivary gland on the lower lip. This case report highlights the importance for the clinician to be aware of this differential diagnosis, when treating an innocuous lesion like a mucocele.


Author(s):  
Ranjan Agrawal ◽  
Prashant Bhardwaj ◽  
Abhinav Srivastava

ABSTRACT Schwannomas or neurilemmomas are benign, encapsulated tumor arising from nerve sheath cells. Intracranial Schwannomas are most common with rare occurrence in the extracranial region. It rarely occurs in the floor of the mouth with very few cases reported. We present a rare case report of Schwannoma of the floor of the mouth, thereby highlighting the consideration of this rare entity as one of the differential diagnosis in cases who present to us with swelling of the floor of the mouth and also the importance of immunohistochemistry in coming to the diagnosis. How to cite this article Srivastava A, Mohan C, Bhardwaj P, Agrawal R. Intraoral Schwannoma: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):20-22.


QUADERNI ACP ◽  
2021 ◽  
Vol 28 (4) ◽  
pp. 173
Author(s):  
Davide Ursi ◽  
Cristina Scozzafava ◽  
Sara Immacolata Orsini ◽  
Andrea Apicella

A 3-months baby comes to our emergency department for an abdominal mass of elastic consistency that suddenly appeared for a week and grown exponentially in the last few days. Blood examinations identify a septic state of the child, and the emergency CT recognizes the abdominal mass’s cystic structure. The surgical removal and the histological analysis will confirm the diagnosis of Infected Common Macrocystic Lymphatic Malformation. This case allows us to remember to pediatricians the main features of Cystic Lymphatic Malformations that should always be considered during the differential diagnosis of abdominal masses of sudden onset in an infant.


Author(s):  
Chandre Gowda Bendiganahalli Venkate Gowda ◽  
Rakshita R. Kamath

<p class="abstract">Independently arising acrochordon of the external auditory canal is a rare entity with only one reported case in literature. We present here the second such case. A 54-yr old lady presented to our outpatient department with complains of aural fullness and reduced hearing in right ear for 2 weeks. Clinical examination showed a pedunculated polypoidal growth in the external auditory canal. Excisional biopsy and histopathology revealed an acrochordon. Following the procedure, patient was free of symptoms and all structures of the right ear were normal. In the head and neck region, acrochordons have only but once been reported in the external auditory canal and hence should be considered as a differential diagnosis in the masses of this region. Resection must be done for confirmation of diagnosis, differentiation from neoplasia and alleviation of symptoms when associated.  </p>


2018 ◽  
Vol 146 (11-12) ◽  
pp. 668-671
Author(s):  
Zlatan Elek ◽  
Boban Mitrovic ◽  
Sasa Dimic ◽  
Aleksandar Bozovic ◽  
Jovan Mladenovic ◽  
...  

Introduction. Bilateral abdominoscrotal hydrocele is a rare entity in childhood. The etiology of abdominoscrotal hydrocele has not been fully clarified. The diagnosis is based on clinical examination, ultrasound and magnetic resonance imaging. The treatment is surgery. Case outline. This paper presents an eight-month-old boy who was admitted at the department of pediatric surgery due to bilateral swellings in the scrotum area. The changes were first noticed when he was three months old and the diagnosis of bilateral abdominoscrotal hydrocele was confirmed after the scrotum ultrasound examination. When the patient was six and eight months old, the symptoms have significantly increased, the magnetic resonance of the abdomen and the lesser pelvis was performed, and the bilateral abdominoscrotal hydrocele was successfully treated with inguinal surgery. The operative and postoperative course was uneventful. Conclusion. In this paper, we presented a rare form of hydrocele in children, as well as diagnostic evaluation that involved ultrasound and magnetic resonance examination. Surgical treatment by inguinal approach is also presented.


2014 ◽  
Vol 6 (2) ◽  
pp. 224-226
Author(s):  
Mahesh Kumar Shankar ◽  
Satish Shet ◽  
Piyush Gupta ◽  
Shobha Druva Nadgir

Introduction: Dirofilariasis is a rare parasitic infestation in humans.Case: A 33-year-old female from the coastal area presented with a swelling over the right lacrimal sac area. It was clinically diagnosed as a lacrimal abscess and was incised under local anesthesia. A live coiled worm was found and removed along with the cyst.  Observations: The worm looked like a thin white thread measuring 101 mm in length. On microscopic examination, the anterior end was slightly tapered and had a rounded head. The H & E stained section of the worm revealed longitudinal ridges with transverse striations on the cuticle. Based on these findings, the worm was identified as dirofilaria repens. Conclusion: Dirofilariasis should be considered in the differential diagnosis of orbital region swelling and conjunctivitis. Surgical removal of the worm not only establishes the diagnosis but also provides a definitive cure.DOI: http://dx.doi.org/10.3126/nepjoph.v6i2.11712Nepal J Ophthalmol 2014; 6 (12): 224-226 


Author(s):  
Aviral Gupta ◽  
Sarvesh C. Mishra ◽  
Vijay D. Upadhyay ◽  
Pujana Kanneganti

AbstractRapunzel syndrome is a rare entity with less than hundred case reports cited in the literature. In this, there is presence of a trichobezoar in the stomach which extends into the small intestine or beyond. It can typically cause abdominal pain and nausea, but can also present as an asymptomatic abdominal mass, progressing to abdominal obstruction and perforation. Many of these patients have associated psychiatric disorder. The gold standard for diagnosis is upper gastrointestinal endoscopy and treatment is surgical removal. Herein, we present surgical images of Rapunzel syndrome in a seven-year-old girl.


2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Md. Shamsuzzaman Mondle ◽  
Md. Shamsul Alam ◽  
Misbah Uddin Ahmad ◽  
Md. Abdullah Yusuf

The patient was a 45-year-old man with a progressive headache. Evaluation in detail revealed it as a case of left lateral ventricular space occupying lesion (SOL) resembling choroid plexus papilloma. A left parietal craniotomy was done and the lesion was removed completely through intraparietal approach. Surgical removal resulted in complete symptomatic relief. Histopathology revealed that it was a case of the enterogenous cyst. One year after surgery, the patient again experienced the same symptom and the images revealed recurrence of the lesion. The patient has undergone 2nd surgery and histopathology was the same as before. The patient was given radiotherapy and now he is completely relieved and well. Although intracranial enterogenous cyst is not uncommon, intraventricular enterogenous cyst as well as recurrent intraventricular enterogenous cyst is a rare entity.


Author(s):  
Sanjay Singh ◽  
Atul Seth ◽  
Ipsita Basu

Cervical tuberculosis is a rare entity with only limited number of case reports in the literature. A 53 year old, P1, post-menopausal housewife presented with history of one episode of post-menopausal bleeding and whitish discharge per vaginum. Speculum examination revealed an ulceroproliferative cervical growth. Clinically she was diagnosed to have carcinoma cervix. However, cervical biopsy confirmed the diagnosis of cervical tuberculosis. She was treated with anti-tubercular drugs for six months and has been disease free for the last two years. This case emphasizes the fact that though cervical tuberculosis is rare, it should be considered in the differential diagnosis of carcinoma cervix.


2020 ◽  
Vol 48 (9) ◽  
pp. 030006052093530
Author(s):  
Chao Gao ◽  
Feng-Chi Zhu ◽  
Bo-zhao Ma ◽  
Hao-Wen Jia ◽  
Jian Lu ◽  
...  

Neurilemmoma, also known as schwannoma or neurinoma, is a tumor that originates from neural sheath Schwann cells. Giant neurilemmomas derived from the retroperitoneum have rarely been reported. We herein describe a woman with a giant retroperitoneal neurilemmoma that was initially incorrectly diagnosed as an inflammatory abdominal mass. The tumor extended from the patient’s hypogastrium to her pelvic cavity and measured 20 × 15 × 10 cm. The tumor was excised via laparotomy and diagnosed as a retroperitoneal neurilemmoma through histological and immunohistochemical examination. Although rare, particularly in the giant form, neurilemmoma should be considered as an important differential diagnosis in patients with a retroperitoneal tumor or inflammatory abdominal mass. Complete excision should be considered for the potential cure of giant retroperitoneal neurilemmomas.


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