ABSTRACT
Acute appendicitis can be difficult to diagnose when it presents in an atypical manner. We report a case of perforated appendicitis mimicking a pelvic neoplasm.
Subject(s)
Appendicitis/diagnosis , Pelvic Neoplasms/diagnosis , Acute Disease , Appendicitis/complications , Appendicitis/surgery , Child, Preschool , Diagnosis, Differential , Female , Humans , Intestinal Perforation/etiologyABSTRACT
Symptomatic involvement of the genitourinary tract as a manifestation of disseminated Coccidioides immitis infection is uncommon. We report a case of a colovesical fistula secondary to Coccidioides immitis infection and review the pertinent medical literature.
Subject(s)
Coccidioidomycosis/complications , Intestinal Fistula/etiology , Sigmoid Diseases/etiology , Urinary Bladder Fistula/etiology , Adult , Amphotericin B/therapeutic use , Coccidioidomycosis/drug therapy , Genital Diseases, Male/microbiology , Humans , Hydronephrosis/etiology , Ketoconazole/therapeutic use , Male , Prostatic Diseases/microbiology , Urinary Bladder Diseases/microbiologyABSTRACT
We report 2 cases of testicular torsion after orchiopexy, which is rare but potentially catastrophic. A review of the literature revealed that absorbable suture was used in 15 of 16 cases of recurrent torsion. We conclude that the tunica albuginea should be secured to the scrotal wall with several nonabsorbable sutures to pex the testes permanently.
Subject(s)
Cryptorchidism/surgery , Postoperative Complications/etiology , Spermatic Cord Torsion/etiology , Adolescent , Humans , Male , Suture Techniques , Sutures/adverse effectsABSTRACT
Hyperammonemic coma without liver disease or associated deficiencies in urea cycle enzymes is rare. We report a case and discuss the pathophysiological findings of hyperammonemic coma secondary to Proteus mirabilis urinary tract infection.
