Parasitic leiomyoma: a rare cause of inguinal mass in females

Leiomyoma of the uterus is a common tumor during the reproductive age of females. It is classified as intrauterine and extrauterine. Extrauterine leiomyomas may occur without a concurrent uterine pathology. Different growth patterns have been described, like retroperitoneal and parasitic growth. We report a case of a 28-year-old female who was found to have inguinal mass, and it was finally diagnosed as parasitic leiomyoma. The mass was coming through the posterior inguinal wall into the subcutaneous region, like a direct inguinal hernia. She underwent excision of the mass, and repair of posterior inguinal wall. Parasitic leiomyoma can be a rare cause of inguinal swelling. When diagnosed, surgical excision is the treatment of choice

Abdominal wall endometriosis an overlooked diagnosis

To study the incidence of abdominal wall endometriosis after cesarean section and its presentation to the general surgeon. Fourteen patients were treated for abdominal wall endometriosis during the period June 1997 to May 2002 at Princess Basma Teaching Hospital and King Abdulla University Hospital, Irbid, Jordan. The patient's files were reviewed to see their way and time of presentation after cesarean section, provisional diagnosis made and operative procedures performed. Symptoms suggestive of and investigations carried out to detect pelvic endometriosis were also looked for and recorded. Fourteen patients were treated within 5 years; all had painful scar-related mass. The pain was exacerbating during menstruation in 5. The clinical diagnosis was stitch granuloma in 3; incisional hernia in 3, abdominal wall tumor in 3 and abdominal wall endometrioma in 5 patients. The mean time for the mass to be noticed by the patient was 2 years. They were treated with wide local excision. Histopathological examination proved the diagnosis of abdominal wall endometriosis. None had evidence of pelvic endometriosis and none of them had recurrence. The incidence of the disease is around 0.2% of the cesarean sections performed during the same period. The treating physician should keep in mind abdominal wall endometriosis as a possible cause of post cesarean section scar-related masses

Management of kerosene injections in the upper limb

Description of the effect and treatment of subcutaneous kerosene injection in the subcutaneous tissue of the upper limb. Princess Basma Teaching Hospital, Irbid, Jordan. Description of three cases treated during the period 1992 through 1994. Kerosene injections cause severe necrotizing inflammation which needs urgent incision and debridement of the area. Skin grafting is needed to achieve skin coverage

Diabetic foot infection, two years experience

To look at the ways and results of diabetic foot infection treatment in a general surgical ward. Princess Basma Teaching Hospital, Irbid, Jordan. Patients treated during the period July 1990 through July 1992. Retrospective analysis of patient's data, methods and results of treatment; as collected from their files. Twenty three patients were treated successfully with simple drainage and debridement, 19 had a toe or more of the foot amputated, while eight had below-knee amputations. Team management of these cases is indicated and the establishment of diabetic foot clinics in our region