ABSTRACT
Malignant pleural mesotheliomas are rare malignancies associated with asbestos exposure and these tumors are infamous for their poor prognosis. Mesotheliomas in other body areas are much rarer. They may occur in the abdominal cavity and also in the inguinal region. In the latter area they are commonly confused with much commoner benign conditions. We present three cases of mesotheliomas in the tunica vaginalis testis.
Subject(s)
Mesothelioma/diagnosis , Testicular Hydrocele/complications , Testicular Neoplasms/diagnosis , Adult , Diagnosis, Differential , Humans , Magnetic Resonance Imaging , Male , Mesothelioma/pathology , Mesothelioma/surgery , Middle Aged , Orchiectomy , Prognosis , Testicular Neoplasms/pathology , Testicular Neoplasms/surgeryABSTRACT
Lactic acidosis is a recognised complication of the antihyperglycaemic biguanide agent metformin, especially in patients with renal failure. We report a case of severe lactic acidosis and hypothermia due to metformin treatment and renal impairment. The favourable outcome despite extremely unfavourable clinical signs and symptoms for survival after admission and initial treatment was unexpected. Specific aspects of the clinical course are addressed.
