ABSTRACT
Isolated Jejunal peroration in a case of blunt trauma abdomen is less encountered and variably dealt with. Being rare, its diagnosis itself is very late clinically and hence carries very high rate of morbidity & mortality. Here we attempted a novel technique to manage the dreaded proximal intestinal leak and avoid stoma at a very proximal site. High output proximal fistula that follows leak is still a nightmare for the resident.Isolated Jejunal blowout injuries are easily missed and diagnosed late. The management involves a primary repair which has a very high risk of leak. This further increases the financial burden and emotional trauma, to the patient & family, as it involves multiple surgeries and prolonged hospital stay following leak and / or high output proximal fistula. This can be avoided by addition of a retrograde duodenostomy to secure the anastomosis without much expense. This reduces the overall stay and expense. Bile collected from the Retrograde Duodenostomy tube was further utilized and replaced to the patient, thus alleviating the need for total parenteral nutrition also. Here we present our technique.
ABSTRACT
The epidermoid cysts are the most common cutaneous cysts and may develop from any parts of the human body. Primary epidermoid cyst with hypospadias in the penis is very rare. Here, we present the case of a slow growing, mobilized; non-tender frenulum of the penis mass in a 44-year-old male patient. Complete excision of the cyst was performed under spinal anesthesia. Histopathological examination confirmed the mass to be an epidermoid cyst. Care must be given during examination to rule out another entity. If there is any indication, complete excision and hypospadias repair is the best treatment