unusual case of extensive xanthogranulomatous orchitis in a diabetic patient

We report an unusual case of extensive xanthogranulomatous orchitis [XGO] in association with poorly controlled diabetes mellitus. A 65-year-old Kuwaiti man with poorly controlled diabetes mellitus presented with a painful left testicular swelling of 1 year duration. Testicular tumor markers were normal. Scrotal ultrasonography showed a mass lesion of mixed echotexture, which almost replaced the testicular parenchyma. Left-sided orchiectomy was performed with the clinical diagnosis of testicular neoplasia. Subsequent examination revealed the diagnosis of XGO, and the patient is well 2 years after the operation. Extensive tumorous XGO associated with diabetes mellitus has not been previously reported. We offer this case to highlight the implied role of poorly controlled diabetes mellitus in the pathogenesis of XGO

Appendicular mucocele - a case report

Appendicular mucocele by definition is a cystic dilatation of the appendiceal lumen by mucin accumulation. This is a rare lesion; its prevalence in appendectomy specimens being only 0.2 - 0.3%. It may be an outcome of various processes. Most important from the surgical point of view is the mucocele caused by mucinous cystadenoma and cystadenocarcinoma. Less commonly it could be due to appendicolith, carcinoid etc. It is known to be associated with pseudomyxoma peritonei resulting from a rupture. It is therefore important to identify the disease process preoperatively and to plan a careful resection. We report here one case with surgical and histopathological confirmation