ABSTRACT
Thrombosis of the corpus cavernosum is a rare disease of unknown cause that usually affects young men. We present the case of a 25-year-old man with an unilateral, painful perineal mass and ultrasound scan compatible with this entity. The magnetic resonance and tomography computarised scan images corroborate the diagnosis. Anticoagulants were prescribed which solved the clinical picture.
Subject(s)
Penile Diseases , Thrombosis , Adult , Anticoagulants/therapeutic use , Humans , Male , Penis/diagnostic imaging , Penis/pathology , Thrombosis/diagnostic imaging , UltrasonographyABSTRACT
Thrombosis of the corpus cavernosum is a rare disease of unknown cause that usually affects young men. We present the case of a 25-year-old man with an unilateral, painful perineal mass and ultrasound scan compatible with this entity. The magnetic resonance and tomography computarised scan images corroborate the diagnosis. Anticoagulants were prescribed which solved the clinical picture (AU)
Subject(s)
Humans , Male , Adult , Penile Diseases/diagnostic imaging , Thrombosis/diagnostic imaging , Penis/blood supplyABSTRACT
BACKGROUND: Spigelian hernia is a ventral hernia in the anterior abdominal wall extremely rare in children. CLINIC CASE: A 13 years old patient is presented with a Spigelian hernia. A surgical repair was successfully performed through a laparoscopic transperitoneal approach without prosthetic reinforcement. A review of 35 pediatric patients published on PubMed between 2000 and 2015 was performed and different therapeutic approaches in pediatric patients were analyzed. Only one patient, and the case reported on this paper, was entirely treated with a laparoscopic approach. CONCLUSIONS: Spigelian hernias in childhood can be securely closured with laparoscopic transperitoneal approach.
ANTECEDENTES: La hernia de Spiegel es una hernia ventral de la pared abdominal infrecuente en niños. CASO CLÍNICO: Se presenta el caso de un paciente de 13 años con una hernia de Spiegel que se reparó mediante abordaje laparoscópico transperitoneal con éxito sin refuerzo protésico. Se realizó una revisión de 35 casos en edad pediátrica publicados en PubMed entre los años 2000 y 2015, y se analizaron los diferentes abordajes terapéuticos. Solo un paciente, además del presentado en este trabajo, fue tratado íntegramente mediante abordaje laparoscópico. CONCLUSIONES: Las hernias de Spiegel en edad pediátrica podrían tratarse quirúrgicamente con seguridad mediante una herniorrafia laparoscópica transabdominal.
Subject(s)
Hernia, Ventral/surgery , Herniorrhaphy/methods , Laparoscopy , Adolescent , Humans , MaleABSTRACT
BACKGROUND: Pharmacobezoars are aggregates of undigested medications that accumulate in the gastrointestinal tract and can cause obstructive or toxic complications. In this paper, the first case is reported of a paediatric pharmacobezoar formation after a vitamin overdose. The objective of this report is to prevent the occurrence of this complication and the action to be taken. CLINIC CASE: A 6-year-old child, 6h after ingesting 40 chewable tablets of a hydrophobic vitamin E with high capacity to form a pharmacobezoar, underwent urgent oesophagogastroscopy. A viscoelastic mass of 10×4cm was observed stretching from the cardia to the greater curvature. Seventy-five percent of the mass was removed and the remainder was fragmented, hydrated and aspirated. The patient remains asymptomatic to date. CONCLUSIONS: An overdose of hydrophobic drugs can produce a bezoar formation therefore prompt evacuation is recommended with an upper gastrointestinal endoscopy, which is a safe and effective technique in gastric bezoars.
Subject(s)
Bezoars/surgery , Capsules/adverse effects , Drug Overdose/complications , Esophagoscopy/methods , Gastroscopy/methods , Stomach , Bezoars/etiology , Child , Drug Compounding , Gelatin , Humans , Hydrophobic and Hydrophilic Interactions , Male , Vitamin E/administration & dosageABSTRACT
No disponible
No disponible
