Background: Spinal epidural lipomatosis (SEL) is an excessive fat deposition within the epidural space of spinal canal leading to compression of nervous structures and neurological manifestations. Exogenous glucocorticoid administration is the major cause of symptomatic SEL. The reported patient had SEL related to endogenous Cushing syndrome which is among few reported cases in the literature.
Case presentation: A 14 year girl with features of Cushing syndrome had severe back pain and magnetic resonance imaging of spine showed SEL. Subsequently, computed tomography of abdomen showed right adrenal adenoma.The patient underwent adrenalectomy which improved her signs of hypercortisolism and SEL.
Conclusion: In view of severe neurological deficits and therapeutic consequences, SEL should be considered in all patients with Cushing syndrome who present with symptoms of spinal cord compression. Correction of underlying endocrinopathy is imperative in management of SEL.
Testicular seminoma needs to be considered as a differential diagnosis for intra-abdominal mass in the male patient if there is a history of undescended testis. The risk of developing seminoma in an undescended testis is about 4-7.5 times greater than in a normally located testis.The risk of seminoma in undescended testis is increased even after orchidopexy.The identification of the draining gonadal vein can play a key role in the diagnosis of the testicular tumor in undescended intra-abdominally located testis. We report a case of seminoma in the retroperitoneal undescended testis in 50 years old male admitted for abdominal pain and distension
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