Genitogluteal porokeratosis - Case report / Poroqueratose genitoglútea - Relato de caso

We report the case of a patient diagnosed with genitogluteal porokeratosis, a disorder of epidermal keratinization. The location described is extremely rare and very often late diagnosed or even misdiagnosed. Histopathology showed a typical cornoid lamella of great value to support this diagnosis. The importance of awareness of this entity by the specialist is emphasized as a differential diagnosis among genital diseases of chronic evolution and difficult treatment.

Relata-se o caso de um paciente com diagnóstico de poroqueratose genitoglútea, uma desordem da queratinização epidérmica, cuja localização exclusiva é extremamente rara, sendo muitas vezes tardia ou erroneamente diagnosticada. A histopatologia demonstra a clássica lamela cornóide, de grande valia para elucidação diagnóstica. Ressalta-se a importância do conhecimento desta entidade pelo especialista como diagnóstico diferencial entre as afecções genitais de evolução arrastada e de difícil tratamento.

Seborrhoeic keratosis: bilaterally symmetrical linear verrucous lesions in inguinal folds, an unusual presentation

Seborrhoeic keratosis is the commonest benign epithelial tumour that occurs from middle age onwards most commonly on sun-exposed areas. We, herewith, report a case of seborrhoeic keratosis with bilaterally symmetrical linear verrucous lesions in both inguinal folds. Linear verrucous epidermal nevus, condyloma acuminata and bowenoid papulosis were excluded by history and histopathological data. Chronic candidiasis of groin in this diabetic patient may be responsible for peculiar localization of the tumour

Extragonadal teratomas presenting at birth and originating from 3 different sites--a report of 3 cases.

Three cases of extragonadal teratomas presented at birth and all the cases arisen from three separate sites are reported in the present study. A huge sacrococcygeal teratoma is being reported and the other two retroperitoneal and nasopharyngeal teratomas, are reported for the rarity of their location in neonatal period. Teratomas of all three babies were mature benign on histopathology and surgical removal sufficed as mode of treatment. No recurrence was noted on follow-up.

Giant cell tumor of soft tissue in groin region, clinically diagnosed as inguinal lymphadenopathy

Giant cell tumor of soft tissue is a rare primary soft tissue neoplasm with clinical and histological similarities to giant cell tumor of bone. Most cases arise from superficial soft tissue of extremities and present as painless and well circumscribed masses. Adequate surgical treatment by complete excision is associated with a benign clinical course in most cases. We report a case of primary giant cell tumor of soft tissue in groin region of a young man which was thought to be an inguinal lymphadenopathy in clinical examination

Region inguinal: ultrasonografia / Groin region: Ultrasonography

Se revisa la anatomía, desarrollo embriológico, y la representación ultrasonográfica de la región inguinal. Se discute la patología que la afecta y la necesidad de su exploración con especial referencia a hernias en la edad pediátrica.

Right inguinal region lipoma, case report

Lipomas are seen commonly in the surgical out patients. Inguinal region lipoma is a rare occurrence. A fifty years old man presented with pain in the inguinal region for two years and a mass in the inguinal region for three months. An ultra sound and CT scan confirmed a right pelvic mass extending into the inguinal region along the course of the psoas muscle. FNAC confirmed the diagnosis as a lipoma. Excision was successfully done. Histopathology confirms the diagnosis of lipoma

rare case of malignant ameloblastoma with Multicentric presentation

Malignant ameloblastoma accounts for less than 1% tumour of the faciomaxillary region, arising from epithelial odontogenic cells or dental lamina. The commonest site is the ascending ramus of mandible and maxilla. A rare case of malignant ameloblastoma at unusual sites is reported. It is important to identify this condition to offer adequate excision and prevent recurrence. This is a case of 9 years old male child, who presented a mass in left cheek and inguinal mass with amputated right leg. Complete excision of the maxilla and inguinal mass was carried out and confirmed as a metastatic malignant ameloblastoma both in maxilla and inguinal region. There was recurrence of the same growth in the right maxilla and skull bones after one year. This is a unique presentation of ameloblastoma spreading to remote areas in the body that has not been reported in the literature. A 9 years old male child was admitted in our ENT Department at Lady Reading Hospital, Peshawar on May-June 1998 with history of swelling left cheek and right inguinal mass. The cheek swelling appeared 10 months back and rapidly increased in size in the last 3 months. It was progressively pushing the left eye ball upward and medially with a proptosis and intact vision. There was history of nasal obstruction with blood stained nasal discharge. He had epiphora as well. On physical examination patient revealed 8x9 cm irregular solid mass of the left cheek which totally occupied the left nasal cavity with protrusion of the lateral wall, left palate and alveolus resulting in loosening of teeth. The mass was smooth and non-tender. The local temperature over the mass was normal, the overlying skin was intact and freely mobile over the mass. On systemic examination there was a mass 8x9 cm in the right inguinal region. The overlying tissue was normal, in the past patient suffered from the same lesion of the right lower limb which was amputated on October 10,1992. Mass from the right axilia was excised by the general surgeon and reported as adamantinoma on histopathology in November 13, 1996. The lesion of the left maxilla and right groin appeared during the last ten months

Management plan of post-angiography false aneurysms of the groin

False aneurysm [FA] of the groin is a potentially serious complication of angiographic procedures. We developed a management plan at St. George's Hospital, and prospectively applied it to 14 consecutive cases over a period of one year. Patients and This report is a prospective cohort study of post-angiography false aneurysms. Fourteen patients with groin FA presented to the vascular team between October 1995 and September 1996 [0.2% of 6926 angiographic procedures]. Nine of the 14 patients were fully anticoagulated at the time of treatment. Ultrasound-guided compression [USGC] was tried in 11 patients and was considered inappropriate in three. Embolization was attempted in four patients and surgery was needed in seven patients. The initial angiographic procedure was therapeutic in nine and diagnostic in five patients. The median maximal dimension of the FA was 3 cm [range 2-5]. USGC was successful in three patients and failed in eight, seven of them fully anticoagulated at the time of compression. Embolization of the FA was tried in four patients; all were anticoagulated, and embolization was successful. Surgery was required in seven patients, one with infected groin and bleeding, another with FA at the site of a groin graft anastomosis, three with concomitant evacuation of large groin hematomas, one who refused further angiographic procedures, and one who needed prolonged full anticoagulation before the availability of the embolization. The operation was successful in all the patients except one, who died of myocardial infarction 24 hours after successful surgical closure of a FA. FA can be managed in a step-wise manner, starting with the noninvasive USGC, embolization and surgery. Surgery is indicated if evacuation of a large hematoma is required, or the presence of infection is suspected. Emergency surgery is indicated for bleeding or imminent rupture

Groin hernias and scroto-penile lesions in a defined Jordanian children

To find out the incidence of groin hernias and external genitalia abnormalities in children in the south of Jordan, for referral and for early treatment and to educate the population about the risk and complications of these abnormalities. Male children aged 6-12 years in the city of Tafila were examined at schools. A total of 1748 children underwent careful clinical examination of groin region, penis and scrotum. Out of 1748 examined children, abnormal findings were detected in 320 children [18.30%]. The abnormalities were as follows:- indirect inguinal hernia in 235 children, undescended testes in 37, retractile testes in 22, hypospadias in 13, left varicocele in eight, hydrocele in four, ambiguous genitalia in one. Herniotomy was detected in 56 children with failed herniotomy in two. Orchidopexy was found in four children with failure in two. No child has had surgery for hypospadias or varicocele. Indirect inguinal hernia is common in children. Undescended testes are not uncommon in children, the majority of children are late for treatment. Increased incidence of failure rate of treated children is noted. Education of public and medical staff about these abnormalities is needed to improve the outcome

Piedra blanca genital: a propósito de un caso / Genital white piedra: case report

Se presenta un paciente de sexo masculino, de 19 años, que consultó por descamación plantar e intertrigo inguinal. Al examen clínico se comprobó además nódulos blancos en el vello pubiano. El examen directo de esos pelos demostró artrosporos y elementos levaduriformes. En el cultivo creció Trichosporon beigelii. Se efectuó microscopía electrónica de barrido. Los exámenes micológicos diagnosticaron una dermatoficia plantar y eritrasma a nivel inguinal. El tratamiento consistió en depilación de la zona pubiana y griseofulvina oral para la dermatofitosis. Se logró la remisión completa y no se registraron recidivas

Herniography: a useful diagnostic tool for occult groin hernia in adult patients with obscure groin pain

20 adult patients [mean age of 39.8 years] with established groin pain of duration of 8.9 months and normal physical examination underwent herniography. All patients had a history of medical evaluation on several occasions by other physicians. The pain was described as an ache in most patients and was unilateral in 17. Apart from 2 cases of brief syncope, no serious herniographic complications were recorded in the present series. In the presence of bilateral hernial sacs, the larger sac was found at the painful side. 18 patients [90%] were found to have 26 occult groin hernias. 4 were direct and 6 were bilateral. Exploration of the painful side confirmed the herniographic findings in all patients. Three months follow-up after operation revealed resolution of the patients' symptoms. The technique of herniography and the normal herniogram were described