HighlightsIntermammary region is a rare area for pilonidal sinus affection.Nothing known about its presentation and management, as there are few reported cases.This case series is about presentation and management of intermammary pilonidal sinus.
Highlights
Bladder injury is an uncommon complication of cesarean delivery with an incidence ranging from 0.0016% to 0.94%.
Delayed blabber rupture post CD may present with urinary ascites and elevated serum creatinine mimicking acute kidney injury.
Cystography is the diagnostic imaging of choice with the reported accuracy of 85%–100%.
Surgical repair is the treatment of choice for intraperitoneal bladder injury.
Conservative management with intraperitoneal and urethral catheter may succeed in properly selected cases.
Ganglioneuromas (GNs) are benign, slow-growing tumors of neural crest cell origin. On rare occasions, adipose cells have been detected in these tumors. The present study reported a case of a huge retroperitoneal GN misdiagnosed and mismanaged as a liposarcoma. A 54-year-old male patient presented with gradually progressing dull back pain with abdominal discomfort for the past 6 months. The patient had abdominal distention and mild right abdominal tenderness. Ultrasound of the abdomen and pelvis revealed a large right-sided retroperitoneal mass. Contrast-enhanced computed tomography findings were consistent with sarcoma. Cytologic examination was suggestive of liposarcoma. A decision was made to start neoadjuvant radiochemotherapy, which proved ineffective. Complete surgical excision of the mass was performed via a midline laparotomy. Histopathology of the mass confirmed the diagnosis of GN. At two years post-operation, the patient developed a recurrence in the subhepatic area with the same diagnosis and the recurrent mass was surgically removed. Initially, the imaging findings were not sufficiently specific to establish the diagnosis. Rarely, cytologic techniques have detected adipose cells in these tumors, resulting in misdiagnosis. Hence, histopathology is the gold standard for definitive diagnosis. Preoperative diagnosis of GN is difficult due to the lack of specific clinical manifestations, radiological confusion with other tumors and the presence of adipocytes in rare cases, leading to misdiagnosis and mismanagement.
Background Fasciolosis is an economically important disease of domestic livestock, in particular cattle and sheep, and occasionally man. The disease is caused by digenean trematodes of the genus Fasciola, commonly referred to as liver flukes. The two species most commonly implicated as the aetiological agents of fasciolosis are F. hepatica and F. gigantica (family Fasciolidae). F. hepatica has a worldwide distribution but predominates in temperate zones while F. gigantica is found on most continents, primarily in tropical regions. Aims: Record the snail that is considered as intermediate host of fasciola and determine the most infected area by the snail that is mean infected area by fasciola and facilitates the control in human and animal fasciolosis. Method: A descriptive crossectional study was undertaken at eight different regions in Sulaimany governorate diagnosed as snail sampling area that includes Penjewen/
Human infestation with liver flukes is rare, as they are accidental host by ingestion of con-taminated water & vegetables. To document the presence of this disease in Iraq/ Kurdistan region, we are reporting this case of Fasciola Hepatica infestation to a young lady with recurrent attacks of Rt. Abdominal pain. The worm was found, during cholecystectomy, swimming in the bile of gallbladder.
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