inguinal mass with local vascular lesions induced by a lymphatic filaria

A 47-year-old Indian male presented with an inguinal mass clinically suspicious as a tumor. Histological examination of the excised mass demonstrated tissue reaction to degenerating intravascular adult filarial worms. The worms have been identified as a lymphatic filariae, most probably Wuchereria bancrofti. The case report underscores the need to maintain suspicion of genitourinary filarial lesions in non-endemic areas and describes atypical vascular lesions induced by lymphatic filariae

Desmoid tumours of the anterior abdominal wall: management and outcome

A retrospective study including 12 patients with a similar number of desmoid tumors of the anterior abdominal wall was conducted. Six patients were presented with incisional hernia and only nine patients had a previous laparotomy. No cases with multiple or recurrent tumors or those with Gardner's syndrome were included in this study. All performed investigations [US, CT and IVP] indicated no specific features and were inconclusive. Three tumors were accidentally discovered during incisional hernia operation; while, in six patients, desmoid tumors were suspected in their previous laparotomy incision. It was concluded that wide surgical excision was the mainstay in the treatment of desmoid tumors. Such excision should not be compromised by the awareness about the reconstruction of resultant defects as the recent surgical reconstructive techniques such as synthetic mesh ensure an adequate and effective management in these cases