ABSTRACT
We report a rare case of a cavernous hemangioma arising in a male breast. A 53 year old man first noticed 1×1 cm nodule just below his left nipple since 2 years. It was enlarging over a period to the present size. He came to our hospital, it was size of (2×1 cm), was a firm and cystic with a rather smooth surface, and mobile with in breast just medial to left nipple. Fine needle aspiration cytology (FNA) failed to obtain proper material except for old bloody fluid or necrotic connective tissue, precluding a correct diagnosis preoperatively suggesting cystic lesion with bloody aspirate. Lumpectomy or excision biopsy was subsequently performed. Histological, it was found to be a cavernous hemangioma. In such a case, complete excision is recommended to exclude the possibility of an underlying malignant lesion.
ABSTRACT
Incidence of splenic abscess is a rare -0.05-0.7% and rarer still is the rupture of the abscess. We present a patient who presented with features of peritonitis and investigations and emergency laparotomy revealed a ruptured splenic abscess with dense adhesions between spleen and diaphragm, stomach, splenic flexure, kidney and lateral abdominal wall due to perisplenitis. Patient was treated with emergency splenectomy and antibiotics. Patient recovered although after a stormy immediate post operative period due to septicaemia. This case is presented owing to the rarity of presentation.