FS/DCBE is feasible as a one-stage combined procedure. The quality of DCBE following FS is satisfactory, and the extra yield of FS and its potential for biopsy make the combined FS/DCBE a useful technique in the investigation of large bowel disease.
A patient is described with an indolent scrotal mass complicated by acute hydrocoele which was proven to be due to malignant mesothelioma of the tunica vaginalis testis. Although uncommon, the possibility of scrotal mass lesion should be considered in ultrasound examination of hydrocoeles with atypical presentations.
Traumatic ventral hernias occur rarely. A case is presented where bowel has herniated through a traumatic defect of the anterior abdominal musculature, demonstrated by CT. This has not been previously reported in the literature. These loops of bowel showed mural thickening and high density indicating severe injury and were found at laparotomy to be ischaemic. The patient simultaneously suffered rupture of the right hemidiaphragm, also demonstrated by CT and also an uncommon injury.
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