Abdominolabial Hydrocele Of The Canal Of Nuck: A Rare Entity

Hydrocele of the canal of Nuck also called the “female hydrocele” is a rare entity in females. The processus vaginalis peritonei is a tubular fold of peritoneum that invaginates into the inguinal canal along with the round ligament. It usually gets obliterated by birth or during early infancy, but if this communication remains patent, it may lead to the development of an indirect inguinal hernia or hydrocele. Here, we present the case of a 32-year-old female who complained of swelling in the right inguinal region. Contrast-enhanced computed tomography scan of abdomen and pelvis was suggestive of a cystic lesion in the right inguinal region which was seen extending from mons pubis up to the right iliac fossa in the retroperitoneum likely suggestive of hydrocele of the canal of Nuck. Surgical excision of the cyst was done

An Interesting Case Of Cutaneous Horn

Cutaneous horn is an uncommon lesion consisting of keratotic material and a clinical diagnosis referred to as, a conical projection of cornified material above the surface of the skin that resembles a miniature horn. The horn is composed of compacted keratin. Cutaneous horns usually develop on a keratinocyte base with the histopathology on a spectrum ranging from benign keratosis to invasive squamous cell carcinoma. Here, we report the case of a cutaneous horn in a 65-year-old male.

A Rare Case Of Pancreatic Injury With Transection Of Main Pancreatic Duct Managed Conservatively

An isolated injury to the pancreas is uncommon and the management remains controversial. The integrity of the main pancreatic duct is considered the most important determinant for prognosis. Physical signs and laboratory parameters are often inaccurate, and missing the diagnosis can cause serious clinical problems. We report a case of a 20-year-old man with blunt abdominal trauma. Pancreatic injuries although uncommon should be considered in the differential diagnosis in case of blunt abdominal trauma. Furthermore, the clinician should be aware that when pancreatic injuries are managed conservatively, the clinical, radiological, and laboratory parameters need to be monitored until resolution.

Segmental Lateral Internal Sphincterotomy: A New Technique for Treatment of Chronic Anal Fissure - Clinical Outcome and Review of Literature.

Introduction: Lateral internal sphincterotomy is an effective treatment for fissure in ano but carries a definite risk of incontinence. In trail to avoid this complication and to study the clinical outcomes such as the symptomatic relief, early postoperative wound healing, safety, and efficacy after segmental internal sphincterotomy, it was used to treat chronic anal fissure. Materials and Methods: This is hospital-based, cohort study was conducted at the NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, Maharashtra, India. This study was undertaken on 62 patients (35 male and 27 female, with mean age 38 years) with chronic fissure in ano from March 2012 to March 2015. Surgical intervention, i.e., lateral internal segmental sphincterotomy done in two segments under direct vision under spinal anesthesia. Post-operative course with early and long-term result was recorded. Mean follow-up was 32 weeks (ranging from 2 to 48 weeks). Results and Discussion: In all patients, the technique was done under spinal anesthesia. The fissure and anal wound were healed within 4 weeks. The pain was reduced at postoperative day 1 in all patients. There were no early complications; one male patient had an infection at anal wound site at the 4th post-operative week which was managed conservatively. No transient or any persistent degree of incontinence occurred in these patients group. Conclusion: Segmental lateral internal sphincterotomy is a safe, easy, and effective procedure and not associated with risk of incontinence for the treatment of chronic anal fissure.