Secondary seminal vesicles tumor: a case report

Secondary seminal vesicle tumors are rarely malignant. Tumor metastasis from colonic cancer arising in this location is even rarer and has only been described in case reports. Due to the rarity of such tumors, the appropriate optimal treatment remains unclear. We report this case of secondary tumor in the seminal vesicle

Urinary bladder fistula due to a complicated ovarian dermoid cyst

Ovarian dermoid cysts [mature cystic teratomas] are a benign type of germ cell tumours and the most common ovarian neoplasms in women of fertile age. We demonstrate a rare case of ovarian dermoid cyst complicated with a urinary bladder fistula presenting with irritative lower urinary tract symptoms which managed successfully with laparoscopic approach

Unusual presentation of extensive urinary tuberculosis: a case report

Tuberculosis [TB] has been one of the great imitators of old time, and only a few years ago, was thought to be a disease of the past. TB is a deadly infectious disease with a rising incidence worldwide. The urologists awareness of the clinical features of genitourinary TB is necessary to effectively treat patients with this disease. We report a case of unusual genitourinary TB in a patient who had extensive urinary bladder TB without any pulmonary manifestations. He presented with severe gross hematuria associated with blood clots without general constitutional symptoms. The current concepts regarding the management of genitourinary TB are discussed and the relevant literature is reviewed

Malignant granular cell tumor manifesting as exophytic skin lesion: report of a case

Granular cell tumor [GCT] also known as Abrikossoff tumor is an uncommon tumor of putative Schwannian derivation that is rarely malignant. We report a case of malignant granular cell tumor [MGCT], which manifested as an ulcerated exophytic skin lesion. The patient was a 41-year-old male who presented with a progressively enlarging, ulcerated skin lesion of six month duration, in the left inguinal region. On examination a well-circumscribed elevated and ulcerated lesion was identified. The lesion was firm in consistency and was fixed to the skin. A clinical diagnosis of squamous cell carcinoma was considered. The lesion was excised with wide surgical margins. Microscopic examination revealed solid sheets of polygonal to spindle cells with moderate pleomorphism. Most cells revealed prominent nucleoli and mitosis was frequent. The cells were strongly immunoreactive to S100, vimentin and neuronspecific enolase. The tumor cells expressed p53 and Ki-67 in about 60% and 40% of the cell population respectively. A diagnosis of MGCT was made. We report this case because of its unusual clinical presentation and briefly discuss its prognosis and differential diagnosis

Twin pregnancy with a complete hydatidiform mole and surviving co-existent fetus: a case report

A 27-year-old woman conceived following six cycles of ovulation induction with clomiphene citrate. Successive ultrasound [US] examinations documented a normally growing live fetus with a normal placenta and an additional intrauterine echogenic mass with features of molar pregnancy. Follow-up serum beta-hCG estimation and genetic amniocentesis was done. Fetus revealed normal female 46XX karyotype. The pregnancy was continued till 28[th] weeks. Labor was induced at 28 week gestation due to vaginal bleeding, which resulted in the delivery of a live normal female infant and two adjoining placentas. One placenta was normal and the other placenta was composed of vesicles of various sizes. Microscopic examination of the abnormal placenta documented complete hydatidiform mole [[HM]. The baby was well and serial maternal serum beta-hCG levels showed a declining trend and were undetectable by 8 weeks after delivery. The prenatal diagnosis of twin pregnancy with complete HM and coexistent fetus was based on US findings, abnormally elevated beta-hCG levels and normal fetal karyotype [46XX]. The pregnancy should be continued with close follow-up to detect potential maternal and fetal complications

Double appendix: report of a case

A 30-year-old female presented to the surgery outpatient department with complaint of pain in right iliac fossa of one day duration. The pain was associated with nausea and vomiting. On examination, there was localized tenderness and rigidity in the right iliac fossa with positive rebound tenderness. Multiple pigmentation of skin in the abdomen, accessory nipple and scoliosis were also noted. Laboratory investigation revealed neutrophilic leukocytosis. Ultrasound abdomen showed an appendix measuring 4 cm in length and a fibroid uterus. Diagnostic laparoscopy revealed an inflamed appendix with a small blind structure in continuity with the cecum. Operative diagnosis of double appendix was made. Microscopic examination confirmed double appendix with features of appendicitis and periappendicitis in the bigger appendix. We report this case because of it rarity. The surgical resident should be aware of this rare congenital anomaly to avoid missing the other appendix in appendectomy procedures and avoid its medico-legal consequences

Mixed ademocarcinoma-carcinoid [collision tumor] of the appendix

To report a case of mixed adenocarcinoma and carcinoid in the gastrointestinal tract. A 52-year-old man presented with a mass at the base of the appendix. On microscopic examination of the tumor, mixed adenocarcinoma and carcinoid was identified. The carcinoid component was insular/trabecular in morphology, and the epithelial component revealed mucinous adenocarcinoma. Morphologically and immunohisto-chemically the 2 components showed a clear-cut distinction, without any intervening intermediate cell population. The adenocarcinomatous component displayed omental depost and metastasis to the regional lymph nodes. One year later, the patient developed multiple metastatic deposits of adenocarcinoma in the liver, rectus muscle, ileum and sigmoid colon. This tumor had an aggressive clinical course and behaved more like adenocarcinomal than carcinoid