Leiomyoma of the epididymis: a case report and review of the literature

Tumors of the epididymis, whether benign or malignant, primary or secondary are very rare. Adenomatoid tumors and leiomyomas are the most frequently diagnosed benign tumors of the epididymis. We report a case of a left-sided asymptomatic leiomyoma of the epididymis in a 39-year-old Asian man who presented with an inguinal hernia on the right side. Ultrasonography was suggestive of adenomatoid tumor of the epididymis. Surgical exploration was done through an inguinal incision with conservative excision of the benign looking mass of the tail of the epididymis. Frozen section was not performed because of clinical suspicion of tuberculosis. Histopathological examination revealed an epididymal leiomyoma. Herein, we report this case and review the relevant literature

Rhomboid flap- a primary cure for pilonidal sinus

To assess the complications, days off work, analgesia requirement and recurrence rate of radical excision and rhomboid flap reconstruction for treatment of sacro-coccygeal pilonidal sinus. Prospective. Al-Amiri Hospital, Kuwait. Two hundred and fifteen patients admitted for surgery of pilonidal sinus. Radical excision of pilonidal sinus with reconstruction using rhomboid flap under general anesthesia in prone position was performed. The patients were usually discharged 24 hours after surgery. Patients were followed up postoperatively for an average of 20 months [range 10-56 months]. They were observed for complications related to the procedure, recurrence, return to work and analgesia requirements. One hundred and seventy eight [82.2%] patients had primary healing, five [2.3%] had recurrence, fourteen [6.5%] had superficial wound infection, eight [3.7%] developed wound seroma and ten [4.65%] developed deep wound infection. The mean duration of follow up was twenty months. The return to work was within two weeks. The analgesia requirement was minimal. Treatment of pilonidal sinus using the rhomboid flap is a simple and safe procedure with low morbidity and recurrence rate