Primary Retroperitoneal Hydatid Cyst is a rare presentation of a disease caused by Echinococcus granulosus. Any organ of the body could be affected by the disease, although there are only a limited number of cases where the primary lesion is in the retroperitoneum. A definitive diagnosis requires a combination of imaging, serologic and immunologic tests. Ultrasonography, computed tomography and magnetic resonance imaging are highly accurate in detecting a hydatid cyst. Diagnosis of retroperitoneal hydatid cysts remain difficult as the clinical and laboratory findings are usually nonspecific. We report a case of a 47-year-old male who had an incidental finding of a retroperitoneal mass behind the left kidney. The CT scan of abdomen was suggestive of Retroperitoneal Hydatid Cyst. Patient underwent marsupialisation of cyst. Histopathological Report was suggestive of Hydatid Cyst.
The part of the parietal peritoneum which accompanies the round ligament in a female, in the inguinal canal is called 'canal of nuck'. Failure of closure of the parietal peritoneum can result in a hernia or hydrocele. Hydrocele of canal of nuck is a rare entity with little said about it in literature. We present a case of a 7 year old female that presented with right sided inguinal swelling which after radiographic confirmation of diagnosis, was treated surgically.
Background: Closure of the abdomen has always been a challenging task especially in the emergency setting with presence of bowel edema, haemoperitoneum, peritonitis. The aim of this study is to assess the role of laparostoma in such cases where closure of abdomen is difficult or under tension. Methods: Retrospective analysis of 15 cases of laparostoma done either at primary surgery or re-exploration when abdominal closure was under tension. Laparostoma was done using nonadhesive plastic like sterile urine collecting bag to cover the exposed bowel. Mortality, whether closure of abdomen could be achieved at a later date, bowel complications due to laparostoma, need for mesh/skin grafting were noted. Results: Of 15 patients with laparostoma, 9 were cases of perforative peritonitis and 4 were blunt abdominal trauma. Age ranged from 19 to 65 year. Abdominal wall closure could be achieved in a median of 15 days. Closure of rectus sheath could be achieved in 4 patients while in 8 patients only skin closure was done with the intention of closing incisional hernia after full recovery. Conclusions: When closure of the abdomen is likely to be under tension creation of a laparostoma would help to prevent abdominal compartment syndrome with its systemic complications. It is also likely to cause less damage to the skin and rectus than methods like tension band wiring. The abdomen can be closed at a later date once the edema settles without undue tension on the abdominal wall.
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