scholarly journals Inguinoscrotal bladder hernias: report of a series and review of the literature

2008 ◽  
Vol 2 (6) ◽  
pp. 619 ◽  
Author(s):  
Kate H. Kraft ◽  
Sarah Sweeney ◽  
Aaron S. Fink ◽  
Chad W.M. Ritenour ◽  
Muta M. Issa

Bladder involvement occurs in 1%–4% of cases of inguinal hernias. Among obese men aged 50 to 70, the incidence may reach 10%. The diagnosis ofbladder involvement is often difficult to delineate at the time of presentation and may only become apparent at the time of herniorrhaphy. Surgical management pertaining to the approach, repair and potential need for bladder resection may challenge the surgeon. We report a series of 4 cases of large inguino scrotal bladder hernias and provide a literature review. Our goal is to highlight the clinical presentation and the decisive issues surrounding the diagnosis and management of this condition.

2020 ◽  
Vol 02 ◽  
Author(s):  
Masood Ghori ◽  
Nadya O. Al Matrooshi ◽  
Samir Al Jabbari ◽  
Ahmed Bafadel ◽  
Gopal Bhatnagar

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.


2007 ◽  
Vol 11 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Nishi Varshney ◽  
Anwar Al Hammadi ◽  
Hakeem Sam ◽  
A. Kevin Watters

Background: Perifolliculitis capitis abscedens et suffodiens (PCAS) is a suppurative process that involves the scalp, eventually resulting in extensive scarring and irreversible alopecia. This condition often presents in males of African American origin. Objective: This article describes the clinical presentation, diagnosis, and treatment of an Aboriginal Canadian male suffering from PCAS. A literature review on the etiology, pathology, differential diagnosis, and management is also discussed. Conclusion: Careful analysis of the pathology and clinical presentation can aid in the timely diagnosis and management of this challenging condition. The clinician dealing with patients suffering from PCAS has several treatment options available to help successfully manage patients with straightforward or recalcitrant disease.


2019 ◽  
Vol 129 (4) ◽  
pp. 394-400 ◽  
Author(s):  
Narmien Haddad ◽  
Pratima Agarwal ◽  
Jessica R. Levi ◽  
Jeremiah C. Tracy ◽  
Lauren F. Tracy

Objective: To examine the clinical presentation, diagnostic evaluation, and management of Killian–Jamieson diverticula (KJD) through literature review. Methods: A comprehensive literature review was conducted through December 2018 using keywords Killian–Jamieson diverticula/diverticulum. Data extracted included clinical presentation, imaging characteristics, surgical management, and postoperative care. Sources: PubMed and Google Scholar. Results: Sixty-eight cases of KJD in 59 reports (29M:39F; median 58 years old) were identified for review. The most common presentation was dysphagia (n = 39), suspected thyroid nodule (n = 24) and globus (n = 14). The majority of KJD (n = 51) occur on the left, with rare reports of right side (n = 11) and bilateral (n = 5) presentation. Thirty-two cases describe surgical management: 22 utilizing a transcervical approach, with (n = 13) or without (n = 9) cricopharyngeal myotomy; and 10 reported endoscopic surgery. Diverticula managed transcervically averaged 3.8 cm in size in comparison to average 2.8 cm in the endoscopic group. Time to diet initiation after transcervical surgery averaged 4 days versus 2 days after endoscopic surgery. Complications were reported in 2/68 cases; both were diverticula recurrence after endoscopic surgery. Conclusion: Killian–Jamieson diverticula is a rare diagnosis that should be considered in the evaluation of dysphagia, globus, and also suspected thyroid nodule. When patient symptoms warrant intervention, a transcervical approach, with or without cricopharyngeal myotomy, is most commonly utilized. In recent years, an endoscopic approach has been presented as an alternative for smaller diverticula. Further understanding of the optimal treatment and postoperative management for KJD requires larger cohorts. Level of Evidence: 4


1989 ◽  
Vol 79 (3) ◽  
pp. 142-146 ◽  
Author(s):  
M Gutowicz ◽  
RA Fritz ◽  
AL Sonoga

A review of the literature on brown recluse spider bite is presented, including clinical presentation and treatment. Emphasis is placed on the treatment of local tissue necrosis. A case report of a severe necrotic ulcer secondary to a spider bit is presented. Tissue necrosis following a brown recluse spider bit can be debilitating, and healing may be prolonged for many months. Even with early treatment, prognosis often is poor. Future studies might help establish better treatment regimens.


1977 ◽  
Vol 86 (6) ◽  
pp. 849-851 ◽  
Author(s):  
Harmon E. Schwartz ◽  
Thomas C. Calcaterra

Instances of first branchial cleft anomalies are quite uncommon. A patient with a first branchial cleft cyst was seen and surgically treated at UCLA Hospital in 1972. Three years later he developed a similar lesion on the opposite side of his neck and this also was surgically excised. A review of the literature has revealed only one prior report of bilateral first branchial cleft anomalies. The embryogenesis, diagnosis, and surgical management of these lesions are discussed in this paper.


2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Matthias Sperl ◽  
Michael Novak ◽  
Daniela Sperl ◽  
Martin Svehlik ◽  
Georg Singer ◽  
...  

The incidence of osteomyelitis constantly declines. While the disease most commonly affects the long bones, involvement of the patella is rarely seen. Due to this rarity and the variable clinical presentation, diagnosis is often delayed. The present case report describes a 10-year-old female patient with a delayed diagnosis of patella osteomyelitis. The diagnostic procedures and the treatment regimen are described. Additionally, a detailed literature review of the available publications reporting osteomyelitis of the patella in children is presented.


2019 ◽  
Vol 32 (2) ◽  
Author(s):  
Alicia Galar ◽  
Ana A. Weil ◽  
David M. Dudzinski ◽  
Patricia Muñoz ◽  
Mark J. Siedner

SUMMARYStaphylococcus aureusprosthetic valve endocarditis (PVE) remains among the most morbid bacterial infections, with mortality estimates ranging from 40% to 80%. The proportion of PVE cases due to methicillin-resistantStaphylococcus aureus(MRSA) has grown in recent decades, to account for more than 15% of cases ofS. aureusPVE and 6% of all cases of PVE. Because no large studies or clinical trials for PVE have been published, most guidelines on the diagnosis and management of MRSA PVE rely upon expert opinion and data from animal models or related conditions (e.g., coagulase-negativeStaphylococcusinfection). We performed a review of the literature on MRSA PVE to summarize data on pathogenic mechanisms and updates in epidemiology and therapeutic management and to inform diagnostic strategies and priority areas where additional clinical and laboratory data will be particularly useful to guide therapy. Major updates discussed in this review include novel diagnostics, indications for surgical management, the utility of aminoglycosides in medical therapy, and a review of newer antistaphylococcal agents used for the management of MRSA PVE.


Author(s):  
Andriana Teresa Cruz Mendez ◽  
Huber Diaz Fuentes

Amyand´s hernia represents an unusual cause of hernia. It has an incidence of 1% of all inguinal hernias. The clinical presentation depends on the involvement of the hernial sac and the inflammatory state of the appendix. Due to the low frequency of presentation of Amyand's hernia, there is no protocolized treatment. Authors present the case of a 70-year-old patient with the presence of surgically resolved Amyand´s hernia.


2021 ◽  
Vol 32 (1) ◽  
pp. 61-69
Author(s):  
Ana Carla Mondek Rampazzo ◽  
Rafael Rodrigues Pinheiro dos Santos ◽  
José Ângelo Favoreto Guarnieri ◽  
Franciele Fazoli ◽  
Sandrieli Afornali ◽  
...  

Multiple meningiomas are rare conditions that refer to the presentation of two or more meningiomas, simultaneous or not, without the association of neurofibromatosis. We report a case of a 83-year-old woman with a clinical presentation of loss of right visual acuity. After imaging exams, she was diagnosed with three meningiomas, located in the olfactory groove, left temporal-parietal convexity and parasagittal. In addition, a comprehensive review of the literature on pathophysiology, histology, risk factors, clinical presentation, and treatment of multiple meningiomas was carried out, in order to highlight the peculiarities of this condition and to associate it with our reported case. Therefore, this article made it possible to compare the characteristics presented in this patient with general aspects of the conditions reported in the literature review.


2010 ◽  
Vol 11 (5) ◽  
pp. 49-55
Author(s):  
Ahmed Chkoura ◽  
Wafaa Elwady ◽  
Bouchra Taleb

Abstract Aim The purpose of this paper is to present a case involving the surgical management of a cutaneous sinus tract and a literature review. Background A cutaneous sinus tract of dental origin may easily be misdiagnosed. Exact diagnosis is necessary in the management of this pathological situation. Case Description A healthy 40-year-old man presented with a dimple in the skin of his right cheek. Upon further examination, the clinical crown of the mandibular right first molar was missing, leaving only the roots visible. Palpation of the affected area revealed a cord-like tract that was surgically excised. Summary A cutaneous sinus tract of dental origin is a canal that drains the infection from a dental source to the face or neck. A misdiagnosis of these lesions could lead to an ineffective and inappropriate treatment. We report a case of a cutaneous sinus tract of dental origin that we removed from the periapical zone of the causal teeth. The aim of this paper is to present a dental and medical literature review of cutaneous sinus tract that has a dental origin and to report a case where the sinus tract was surgically eliminated. Patients with a cutaneous facial sinus tract of dental origin often do not have obvious dental symptoms that can lead to misdiagnosing this pathological situation. Clinical Significance Elimination of the source of infection by endodontic treatment or tooth removal generally results in resolution of the sinus tract. But in the case of an older sinus tract, wound contraction and scar tissue formation may require surgical management to excise the cordlike tract. Citation Chkoura A, Elwady W, Taleb B. Surgical Management of a Cutaneous Sinus Tract: A Case Report and Review of the Literature. J Contemp Dent Pract [Internet]. 2010 October; 11(5):049-055. Available from: http://www.thejcdp. com/journal/view/volume11-issue5-chkoura


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