scholarly journals Intergluteal Cleft Eccrine Porocarcinoma with Metastasis to Inguinal Region and Lung: Case Report and Review of the Literature

2020 ◽  
Vol 13 (3) ◽  
pp. 1463-1473
Author(s):  
Ricardo Fernández-Ferreira ◽  
Gabriela Alvarado-Luna ◽  
Daniel Motola-Kuba ◽  
Ileana Mackinney-Novelo ◽  
Eduardo Emir Cervera-Ceballos ◽  
...  
Keyword(s):  
Medical Literature ◽  
Primary Treatment ◽  
Skin Tumor ◽  
Inguinal Region ◽  
Pertinent Literature ◽  
Rare Type ◽  
Localized Disease ◽  
Histological Confirmation ◽  
Eccrine Porocarcinoma ◽  
Left Inguinal Region

Eccrine porocarcinoma (EPC) is an infrequent cutaneous neoplasm, and was described in 1963 by Pinkus and Mehregan. It is a rare type of skin tumor (0.005–0.01% of all skin tumors). Less than 300 cases have been described in the entire world medical literature. To our knowledge, no case of intergluteal cleft EPC has been reported in the literature in English and Spanish to date, so this would be the first reported case of such pathology. Metastatic EPC is less frequent, since only <10% of metastatic type have been reported and the rest as localized disease. The primary treatment of choice is surgical wide local excision of the tumor with histological confirmation of tumor-free margins. Prognosis is difficult to determine because of the rarity of EPC and the variations in natural history. There are no data to support the use of adjuvant chemotherapy or radiotherapy, and there are currently no agreed criteria to define patients at high risk of relapse. We present a 67-year-old man with intergluteal cleft eccrine tumor by biopsy. Metastasis to left inguinal region and lung was reported by contrasted abdominal and chest computed tomography. He started chemotherapy based on etoposide, vincristine, carboplatin. A review of pertinent literature is provided.

scholarly journals A unique case of congenital transmesocolic hernia with malrotation in a 25-year-old female: a case report

2019 ◽  
Vol 2019 (10) ◽  
Author(s):  
Aghyad Kudra Danial ◽  
Muhamad Zakaria Brimo Alsaman ◽  
Rama Zazo ◽  
Muhammad Mazketly ◽  
Mohammad Nour Kitaz ◽  
...  
Keyword(s):  
Transverse Colon ◽  
Medical Literature ◽  
Clinical Manifestations ◽  
Previous Surgery ◽  
Unique Case ◽  
Rare Type ◽  
Unusual Phenomenon ◽  
History Of ◽  
Hernia Orifice ◽  
Ladd’S Procedure

Abstract Congenital transmesocolic hernia of the transverse colon is a very rare type of internal hernia. In addition, intestinal malrotation is very rare in adults. Most of these patients do not have clear clinical manifestations. Incidence of congenital transmesocolic hernia of the transverse colon along with malrotation is an unusual phenomenon in medical literature and clinical practice. Here, we report a unique case of a 25-year-old woman diagnosed with transmesocolic hernia of the transverse colon and malrotation of the small intestine, without any history of trauma or previous surgery. The patient underwent surgery, where the hernia orifice was closed and Ladd’s procedure was performed.

scholarly journals Rare Case of Large Bowel Injury due to Direct Blunt Trauma to a Preexisting Femoral Hernia

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
C. Tinner ◽  
M. Odermatt ◽  
P. Villiger
Keyword(s):  
Blunt Trauma ◽  
Femoral Hernia ◽  
Bowel Perforation ◽  
Colorectal Anastomosis ◽  
Oral Feeding ◽  
Inguinal Region ◽  
Emergency Laparotomy ◽  
Time Interval ◽  
Hernia Sac ◽  
Left Inguinal Region

We report a case of an 85-year-old man with a known asymptomatic left femoral hernia who was admitted to the emergency ward a few hours after falling from a bicycle and suffering from blunt trauma of the handlebar to the left inguinal region. The clinical findings and a computed tomography (CT) scan detecting free air in the femoral hernia sac suggested bowel perforation. Emergency laparotomy 6 hours after the incident confirmed a tear of the sigmoid colon accompanied by free blood and faeces in the left inguinal region of the abdomen. A segmental sigmoid resection and a primary end-to-end colorectal anastomosis were performed. The postoperative course was complicated by delayed oral feeding, a local infection, and a partial left testicle necrosis that led to secondary resection. The patient was discharged after 32 days of in-hospital care. Three months post trauma, we recorded a restitutio ad integrum. The case exemplifies that blunt trauma to preexisting femoral hernias may cause potentially lethal bowel perforation and that the time interval between time of injury and surgical treatment may be a prognostic factor. CT scans seem most suitable for ruling out bowel perforation. The scarce literature for blunt trauma to hernias is reviewed.

scholarly journals Inguinal pain during pregnancy, secondary to round ligament varicosities: case report

2018 ◽  
Vol 7 (11) ◽  
pp. 4762
Author(s):  
Gamaliel Vázquez Estudillo ◽  
Junior J. Araiza Navarro ◽  
Martin F. Tellez Romero ◽  
Rogelio Mata Cruz ◽  
Ivanhoe Larracilla Salazar ◽  
...  
Keyword(s):  
Case Report ◽  
Doppler Ultrasound ◽  
Spontaneous Regression ◽  
Emergency Service ◽  
Regional Hospital ◽  
Round Ligament ◽  
Inguinal Region ◽  
First Case ◽  
Left Inguinal Region ◽  
Rule Out

The exact incidence of round ligament varicosities (RLV) is uncertain, due to the fact that there are few cases reported in the literature, and in many cases, they can be confused with inguinal hernias. A 26-year-old female with 26.3 weeks of gestation by date of last menstruation, who went to the emergency service of the Naval Regional Hospital of Tampico with the presence of an increase in volume in the left inguinal region, accompanied by pain, which increased standing and decreasing with the dorsal decubitus, the physical examination confirmed an increase in volume at the left inguinal level. An ultrasound of the inguinal region was requested to rule out an inguinal hernia as the first diagnosis, Doppler ultrasound revealed RLV. The patient was treated conservatively and at two weeks after the resolution of the pregnancy, the RLV presented a spontaneous regression and her symptoms completely resolved. This is the first case of round ligament varicosities reported in present institution. It is important to be aware of this pathology, to perform extension studies (Doppler ultrasound) to avoid unnecessary surgery in pregnant women.

AN AUTOPSY CASE OF MALIGNANT RHABDOID TUMOR ARISING FROM SOFT PARTS IN THE LEFT INGUINAL REGION

1988 ◽  
Vol 38 (8) ◽  
pp. 1087-1096
Author(s):  
Hitoshi Uchida ◽  
Shigeo Yokoyama ◽  
Iwao Nakayama ◽  
Kenji Zeze
Keyword(s):  
Rhabdoid Tumor ◽  
Inguinal Region ◽  
Malignant Rhabdoid Tumor ◽  
Autopsy Case ◽  
Left Inguinal Region

scholarly journals A bull gore injury: a rare case report and review of the literature

2019 ◽  
pp. 27-36
Author(s):  
Alegbeleye Bamidele Johnson
Keyword(s):  
Rare Case ◽  
Iliac Fossa ◽  
Trauma Surgery ◽  
Inguinal Region ◽  
Review Of The Literature ◽  
Left Iliac Fossa ◽  
Abdominal Sonography ◽  
Left Groin ◽  
Essentially Normal ◽  
Left Inguinal Region

Background: Bull gore injuries are not common in a city set up but are common in the rural areas. The range of injuries varies from abdominal, chest, scrotal injuries which are quite different from the usual injuries seen in the emergency and casualty like road traffic injuries and stab injuries. We report a rare case of bull gore injury seen in a 38-year-old farmer, managed in this peripheral mission hospital one involving a stray domestic bull, its management as well as review of the literature. It is aimed that the knowledge gained from analyses of these injuries may be beneficial to other clinicians in general and also applicable to the management of similar injuries sustained in rodeo or agricultural settings. Case Presentation: A 38-year-old male farmer of Kumbo origin, Northwestern Cameroon was seen at the emergency department after being hit by a stray domestic bull in his farm. He presented with a complaint of pain in the left iliac fossa, actively bleeding deep laceration in the left inguinal region and a left scrotal swelling. On presentation, his vital parameters (blood pressure: 120/80 mmHg, pulse rate: 82/minute, respiratory rate: 18/minute, temperature: 37.10 Celcius) were stable. On physical examination, the eviscerated left testes and cord was visible at the edge of a deep laceration in the left inguinal region and there was moderate swelling in the left iliac fossa. Rectal examination did not reveal additional finding. The bowel sounds were normal. We made a clinical diagnosis of penetrating abdominal injury with evisceration of left testes. The findings from the initial laboratory studies; Chest and plain abdomen radiographs were essentially normal. Focused abdominal sonography for trauma showed minimal free fluid in the left paracolic gutter and pelvis as well as diffuse hypoechoic mass (hematoma) of anterior abdominal wall essentially in the left iliac fossa. He was resuscitated on intravenous fluids, IV Ceftriaxone 1gm 12hourly, IV Metronidazole 500mg 8hourly, IV Paracetamol 1gm 8hourly. He also had anti-tetanus prophylaxis and was thereafter transferred to the OR. He had exploratory laparotomy, and left groin exploration; extensive left groin wound debridement with evacuation of hemoperitoneum, orchidopexy and wound closure over left pelvic as well as scrotal drains. The post-operative period was uneventful with optimal recovery. The patient was subsequently discharged on the seventh post-operative day and had since been seen in the surgical outpatient clinic at three weekly intervals for six months with satisfactory outcome. Conclusion: Trauma due to animals especially those caused by bull horn could be life threatening as well as leave disability due to the site involvement. Early intervention and trauma surgery can be both lifesaving and could also prevent disability at a later stage. Management of bull gore injury can be challenging to the surgeon who needs have high index of suspicion for the diagnosis of this condition and take a call on type of management. Also, surgical repair of the injury is also difficult because of the complex anatomy and the less accessibility. There is an increasing priority for preventive measures to curtail such mishaps. Keywords: Bull horn Injury; Abdominal Trauma; Bull-Fight; Goring; Evisceration

scholarly journals Embolic Stroke Caused by Staphylococcus lugdunensis Endocarditis Complicating Vasectomy in a 36-Year-Old Man

2015 ◽  
Vol 42 (6) ◽  
pp. 585-587 ◽  
Author(s):  
Manova David ◽  
Megan Loftsgaarden ◽  
Felix Chukwudelunzu
Keyword(s):  
At Risk ◽  
Medical Literature ◽  
Clinical Course ◽  
The Body ◽  
Embolic Stroke ◽  
Inguinal Region ◽  
Staphylococcus Lugdunensis ◽  
Native Valve ◽  
Native Flora ◽  
Native Valve Endocarditis

Staphylococcus lugdunensis is part of the native flora in the inguinal region of the body. Inguinal surgeries, such as vasectomy, place carriers of this aggressive pathogen at risk for contamination. Native-valve endocarditis caused by coagulase-negative S. lugdunensis has a rapid and complicated clinical course. The pathogenicity of this organism is not limited to cardiac valvular destruction. We report the case of a 36-year-old man who presented with S. lugdunensis endocarditis, dysarthria, and hemiparesis 5 weeks after a vasectomy. To our knowledge, this is the first report of embolic stroke caused by S. lugdunensis endocarditis. In addition, we discuss the relevant medical literature.

scholarly journals Perineal Hernia in a Bitch

2020 ◽  
Vol 48 ◽  
Author(s):  
Ângela Valentina De La Porta Machado ◽  
Gabriela Lugoch ◽  
Ana Paula Ibarra dos Santos ◽  
Maria Eduarda Pons Gonçalves ◽  
Marília Teresa De Oliveira ◽  
...  
Keyword(s):  
Physical Examination ◽  
Surgical Procedure ◽  
Perineal Hernia ◽  
Inguinal Region ◽  
Ultrasound Scan ◽  
Hernia Sac ◽  
Pelvic Diaphragm ◽  
Perineal Region ◽  
The Right ◽  
Left Inguinal Region

Background: Perineal hernia is characterized by the displacement of abdominal organs to the perineal region after rupture or weakening of the pelvic diaphragm muscles. This condition is common among middle-aged and elderly unneutered male dogs. Considering the severity of the condition and its rarity among bitches, this paper reports on a case of perineal hernia caused by hydrometra in a 12-year-old pinscher bitch.Case: The patient was a 12-year-old Pinscher bitch, weighing 3 kg, suffering from anuria and constipation in the 36 h prior to treatment, without reported trauma. She was unspayed, and her last estrus had occurred approximately thirty days previously. The physical examination revealed an increase in volume in the right perineal region, increased volume in the left inguinal region, increased body temperature (39.8ºC), pale mucous membranes, tachycardia, tachypnea, abdominal pain and increased popliteal lymph nodes. The diagnosis was determined based on her medical history, clinical signs and an ultrasound scan, which revealed dilated uterine horns displaced unilaterally in the left inguinal region, with evidence of hydrometra, full urinary bladder inside the hernia sac in the right dorsolateral perineal region and right kidney pyelectasis. After evaluating the animal’s physical condition, surgery was recommended, involving ovariohysterectomy associated with inguinal and perineal herniorrhaphy.Discussion: Perineal hernia, a common condition in male dogs, is characterized by the displacement of organs towards the perineal region. However, in this case, this condition occurred in female dog. Unlike males, the main causes of perineal hernia in females are trauma, chronic coughing related to heart disease, bronchitis, and tracheal collapse. Increased intra-abdominal pressure associated with a weak pelvic diaphragm predisposes for herniation of abdominal contents, such as occurred through hydrometra. In this case, other factors that could pertain to the etiology of perineal hernia were excluded, given the absence of trauma or secondary diseases. The diagnosis was made based on a physical examination and ultrasound scan. Pre-surgical biochemical blood tests were also performed. The chosen treatment was ovariohysterectomy followed by inguinal and perineal herniorrhaphy. The traditional surgical procedure to reduce the perineal hernia was employed, using approximation sutures due to the easy apposition of wound edges. The structures and soft tissues involved showed no changes in color or texture, thus obviating the need for more elaborate techniques, which are employed in the case of relapse or muscle atrophy. The patient showed clinical evolution after surgical correction, with decreased perineal volume and recovery of urinary function (normuria). The patient was discharged after 72 h, and six months after the surgical procedure, she presented no clinical alteration, according to information provided in a telephone call by her owner. It is believed that the increase in volume caused by the presence of hydrometra was the determining factor for the development of inguinal and perineal hernias. It is suggested that alterations causing uterine enlargement be investigated in order to include perineal hernia in female dogs as a differential diagnostic tool.

scholarly journals Prostate leiomyosarcoma treatment using three-dimensional reconstruction: a case report and literature review

2021 ◽  
Keyword(s):  
Adjuvant Therapy ◽  
3D Reconstruction ◽  
Three Dimensional ◽  
Digital Rectal Examination ◽  
Primary Treatment ◽  
Prostate Tumor ◽  
Surrounding Tissue ◽  
Radical Excision ◽  
Rare Type ◽  
Dimensional Reconstruction

Background: Prostate sarcoma is a malignant tumor from the prostate stroma. However, its pathogenesis is unknown. This is a rare type of prostate tumor. Case Presentation: A rare case of prostate leiomyosarcoma has been described. A 55-year-old prostate leiomyosarcoma patient who suffered from progressive dysuria and frequent urination for half a year was examined. Pathology, immunohistochemical staining, and laparoscopic radical prostatectomy were performed using three-dimensional (3D) reconstruction to diagnose prostate leiomyosarcoma. The patient did not receive adjuvant therapy after the operation. Final pathology was used to confirm prostate leiomyosarcoma. After one year of follow-up, the patient regularly underwent a digital rectal examination and abdominal MRI. However, no tumor recurrence or metastasis was found. Discussion: We discussed diagnosis and treatment of prostate leiomyosarcoma and reviewd literatures. Conclusion: Prostate leiomyosarcoma is a rare special type of prostate tumor, and its diagnosis is mainly based on pathological features. Radical excision is the primary treatment for prostate leiomyosarcoma. The 3D reconstruction is essential in the surgery because it can determine the size of the tumor and its relationship to the surrounding tissue. A postoperative adjuvant therapy can also be performed.

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