ABSTRACT
Background: A huge indirect inguinal hernia with tiny penis and a gigantic scrotum was observed in a cadaveric male of age 77 years. Clinical record from the hospital was retrospectively studied with the permission of his son and the hospital director.Objective: To observe the hernial contents and its effects on the surrounding organs.Methods: Dissection was carefully done in the inguinal regions, scrotal sac and hernial coverings.Results: Bilateral indirect inguinal hernias with the predominantly large left side were observed. The scrotum was enlarged by a huge left hernial sac containing a long loop of sigmoid colon (8 inches long). This hernial sac put a great pressure on both testes, spermatic cords and pushed them inferiorly to the hernial sac until they were stretchedly thin and atrophied. The penis was pushed to the right and retracted to be tiny (1 inch long). The right hernial sac was incomplete indirect inguinal hernia containing the mesentery. His medical record revealed the history of the left hernial repair 8 years before death but did not report the recurrent time or any clinical sign ofphallo-orchido-atrophy.Conclusion: A case of 77 year old male cadaver with a huge recurrent indirect inguinal hernia was studied. The left hernial sac was larger than the right one and extended down to fill up and enlarge the scrotum. The content was a long loop of sigmoid colon (8 inches long). The huge hernial content put a great pressure on both testes, spermatic cords and the penis for a long period of time and consequently causing a phallo-orchido-atrophy.Keywords: recurrent indirect inguinal hernia, phalloorchido-atrophy
ABSTRACT
Background: The variations of the organs in the body are some time found during dissection of formalin-embalmed cadavers in the practical class of Gross Anatomy.Objective: To record and report the first case in 5 years of horseshoe kidney from the practical class of Gross Anatomy, Faculty of Medicine, Khon Kaen University.Results: A horseshoe kidney was found in an 82-year-old female cadaver. The single ureter was found on the right side. The multiple segmental arterial supply to the horseshoe kidney were observed.Keywords: horseshoe kidney, single ureter
ABSTRACT
Background: Variations of the branches of the arch of aorta are mostly resulted from abnormal development of the branchial arches.Objective: To present the abnormal origin of the right subclavian artery associated with abnormal thoracic duct and the right recurrent laryngeal nerve Methods: Dissection of the mediastinum was carefully done to investigate the great vessels of the arch of aorta. The outer diameter and length of the anomalous rightsubclavian artery were measured. The other abnormally related structures were identified.Results: The anomalous right subclavian artery was incidentally found in a female cadaver of 80 year-old. It arose as the fourth branch of the distal part of the arch of aorta and traveled across the midline at T3 retroesophageally to reach the right upper extremity. This anomalous artery was the biggest branch of the great vessels of the arch of aorta. It was associated with the abnormal right-sided thoracic duct and the absence of the right recurrent laryngeal nerve.Conclusions: A case of 80 year-old female cadaver showed the abnormal origin of the right subclavian artery arising as the fourth branch of the distal part of the arch of aorta. It was associated with the abnormal right-sided thoracic duct and the absence of the right recurrent laryngeal nerve.Keywords: Anomalous subclavian artery, arch of aortic, abnormal development, anatomical variation