Hydatid cyst of the pancreas mimicking choledochal cyst

Primary hydatid cyst of the pancreas represents a rare clinical entity. The clinical presentation depends on the location of a hydatid cyst in the pancreas. A hydatid cyst located in the head of the pancreas usually manifests as obstructive jaundice due to the extrinsic compression of the common bile duct. A case of a hydatid cyst of the head of the pancreas in a 4-year-old female is reported. She presented with abdominal pain and jaundice. Contrast-enhanced computed tomography scan of the abdomen revealed a cystic mass at the lower end of the common bile duct, which mimicked a choledochal cyst. The diagnosis of hydatid cyst was made intraoperatively, with postoperative findings revealing a hydatid cyst at the head of the pancreas that was compressing the lower end of the common bile duct. After cystectomy, no recurrence was seen in follow-up

Appendiceal ascariasis in children

The propensity of Ascaris lumbricoides to wander leads to varied surgical complications in the abdomen. Wandering A lumbricoides may sometimes reach the vermiform appendix and its presence there may remain silent or incite pathology. Our aim was to study ascariadial appendicitis. Over a period of 3 years, we identified children who were found to have appendiceal ascariasis during surgery for different intestinal complications due to ascariasis. We studied the relationship between ascariasis and its lodgement inside the vermiform appendix in these patients. No preoperative diagnosis was made in this series. We found 11 patients with appendiceal ascariasis. It was incidentally found that 8/11 [72.7%] patients had worms inside their vermiform appendix but not appendicitis, whereas the remaining three patients [27.2%] were found to have Ascaris-associated appendicitis. The characteristic finding in Ascaris-infested vermiform appendix was that the worm is positioned with its head at the base and its tail at the tip of the appendix. Migration of A lumbrocoides inside the vermiform appendix is an incidental finding and tends to pursue a silent course in most patients. Only rarely does the presence of Ascaris inside the vermiform appendix cause appendicitis

Encysted hydrocele of cord in an adult misdiagnosed as irreducible hernia: a case report

A number of pathologies can present as groin swellings in adults. Among these, encysted hydrocele of the cord presenting as swelling in an adult is a rare. A case of encysted hydrocele of cord in 36 year old male mimicking as an irreducible hernia is reported. The diagnosis of hydrocele was made intraoperatively. An excision of the sac was performed

Metastatic squamous cell carcinoma of foot: case report

Squamous cell carcinoma of the foot is rare. A case report of occurrence of metastatic squamous carcinoma of the foot with resemblance to verrucous type in an elderly female is presented. This metastatic lesion developed four years after excision of primary squamous cell carcinoma from the left thigh. The patient presented with a painful, exophytic, ulcerated mass on the foot of four months' duration. Fine-needle aspiration and edge biopsy documented this lesion as squamous cell carcinoma

Management of penile fracture

Penile fracture is a remarkable but under-reported urologic injury. Coitus and penile manipulations are common predisposing factors. Manifestations are often typical and this fracture may be isolated or associated with urethral injury. Surgical intervention is the preferred mode of treatment. To study clinical features and treatment of patients diagnosed with fractured penis. All patients diagnosed with penis fracture from March 2000-March 2007 were retrospectively studied. No invasive investigation was used for diagnosis. Surgical intervention was done in 52 patients while 5 patients were managed conservatively. The constant finding recorded in all cases was that penis fracture occurred in erect penises. Most fractures were observed in the 16-30 years age group [50.88%]. Left lateral tear was present in 53.84% cases. One patient had gangrene of penile skin after surgery. Penis Fracture is not so uncommon as reported. A trauma to erect penis is mandatory for fracture to occur. Surgical intervention is the preferred mode of treatment