Huge primary vaginal stone in cerebral palsy patient.

Vaginal stones are rarely encountered in practice, often misdiagnosed as bladder stone on plain radiography. The clinical manifestation can be unspecific ranging from asymptomatic stones to acute onset of fever or abdominal discomfort, rendering the diagnosis challenging. They are classified into primary stones resulting from urine stasis, and more commonly secondary stones formed around a nidus. Cerebral palsy is frequently associated with urinary incontinence and leads to constant leakage of urine into the vagina. In addition, the prolonged recumbent position results in urinary stasis, thus promoting stone formation.

Huge primary scrotal lipoma: Case report and review of literature.

Primary scrotal lipomas are rare findings in urological practice. We present a case of a scrotal mass in a young patient, found to have a huge scrotal lipoma. He was diagnosed using imaging modalities and surgically managed with no further complications.

Extra-Gastrointestinal Stromal Tumor (EGIST) in the Pelvis Mimicking Retroperitoneal Sarcoma.

Extra-gastrointestinal stromal tumors (EGISTs) are rare mesenchymal tumors accounting for less than 1% of total gastrointestinal tumors. They tend to be aggressive and have a poor prognosis. Unfortunately, there is a lack of data or controversial data due to its scarcity. Therefore, we report a case of pelvic EGIST misdiagnosed as retroperitoneal sarcoma. We opted for surgical management followed by adjuvant oral chemotherapy with imatinib.

Intestinal presentation of non-Hodgkin lymphoma: Case report.

BACKGROUND: MEITL (monomorphic epitheliotropic intestinal T-cell lymphoma) is a rare primary intestinal T-cell lymphoma associated with high mortality rate. Being intestinal this implies difficult diagnostic workup and management. CASE: We present a case of 59-year-old male presented with abdominal pain and found to have 15 × 11 cm mass in the right iliac fossa. Decision for surgical excision was retained and the Pathological examination determined monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) with CD30 positive immune-histochemical profile. CONCLUSION: MEITL is a rare entity which retains challenging diagnosis and management as well as variable immune-histochemical profile. In the absence of clear guidelines for the management of intestinal manifestation of lymphoma, surgical approach may have its indications.