Unexpected location of a pilonidal sinus.

Pilonidal sinus disease is typically located in the sacrococcygeal area, although it has been described in other locations. We present a rare case of pilonidal sinus on the scalp and its management.

Alterations in testicular positioning after normal descent: acquired cryptorchidism.

BACKGROUND: Acquired cryptorchidism or acquired undescended testis (UDT) is defined as the displacement of a testicle outside the scrotal sac after normal descent has been verified. There are still no clear guidelines on its management. OBJECTIVES: To analyze patients who underwent surgery for UDT in our setting to determine the prevalence of acquired cryptorchidism and to analyze the demographic and clinical characteristics of the population of children diagnosed with both acquired and congenital cryptorchidism, the age of presentation of both entities and the percentage of bilateral involvement. MATERIALS AND METHODS: This was a retrospective descriptive study using data from the clinical history of patients who underwent surgery for cryptorchidism between 2011 and 2022. The type of cryptorchidism, acquired or congenital, was recorded. Demographic and clinical data were collected. RESULTS: A total of 367 patients and 442 testicular units were included in the study (75 patients had bilateral involvement). In 54.75% (95% CI: 50.09%-59.40%) of the cases analyzed, cryptorchidism was acquired, and the mean age at the time of surgery was 7.39 years (SD 2.95). Twenty percent (95% CI: 16.29%-24.58%) of the patients presented with bilateral cryptorchidism and 64% (95% CI: 52.88%-75.11%) out of them were acquired on both sides. The diagnosis was metachronous in 42.6% (95% CI: 31.21%-54.12%) of bilateral cryptorchidism cases. DISCUSSION AND CONCLUSION: Acquired cryptorchidism accounts for more than half of cryptorchidism cases requiring surgery in our setting, with a clearly different age of presentation than that for congenital cryptorchidism. Therefore, it is necessary to monitor the presence of the testes in the scrotal sac until adolescence. It is also important to monitor patients with a history of cryptorchidism, not only for the management of the operated testicle but also for the early identification of patients who will develop metachronous contralateral cryptorchidism.

Parotid irrigation: A promising option for juvenile recurrent parotitis.

OBJECTIVE: To study whether irrigating the parotid gland with saline solution through the parotid duct reduces the number of inflammatory episodes in patients with juvenile recurrent parotitis (JRP) over a 1-year period. METHODS: This was a retrospective cohort study using the electronic clinical history data of patients with JRP that were treated with parotid irrigation under general anaesthesia at the Paediatric Surgery units of Consorci Sanitari Alt Penedès-Garraf and Hospital Universitari Mútua de Terrassa. The number of inflammation episodes in the year before and the year after treatment was analysed. RESULTS: A total of 15 patients with JRP were evaluated, of whom 10 met the criteria for irrigation. Data from 9 patients were available. The procedure was performed without incident in all of the patients. There was no difficulty with probing the duct and no need for orifice dilation. No post-lavage complications were observed. Four patients had complete resolution of inflammation events (44.4%), and the remaining 5 patients had a decrease in the number of events. The Wilcoxon signed-rank test showed a statistically significant difference between the number of inflammation events before and after the intervention (p = 0.009). CONCLUSIONS: Parotid irrigation with saline solution could be a safe and effective first-line technique for the treatment of JRP. LEVEL-OF-EVIDENCE: IV.

Prolapso uretral en una niña con sangrado urogenital / Urethral prolapse in a girl with urogenital bleeding

El prolapso uretral es una enfermedad poco frecuente que afecta a la uretra distal. Ocurre, con mayor frecuencia, en niñas negras prepúberes y en mujeres posmenopáusicas. El motivo de consulta suele ser sangrado genital y/o disuria. El tratamiento incluye desde terapia conservadora hasta operaciones quirúrgicas.Se presenta el caso de una niña blanca de 11 años que acudió a Urgencias por flujo vaginal desde hacía 6 días y sangrado genital desde hacía 3 días, que se acompañaba de dolor punzante en la región genital, con disuria ocasional. Se observó una eversión circular de la mucosa uretral con un área granulomatosa y necrótica, por lo que se intervino quirúrgicamente y se realizó una resección del prolapso, con resolución de la clínica

Urethral prolapse is an uncommon condition that involves the distal urethra. It occurs most often in prepuberal black girls and in postmenopausal women. The reason for consultation is usually genital bleeding and/or dysuria. The treatment includes from conservative therapy to surgical interventions.We present the case of an 11-year-old white girl who came to the Emergency Room due to vaginal discharge for 6 days and genital bleeding for 3 days that was accompanied by stabbing pain in genital region, with occasional dysuria. A circular eversion of the urethral mucosa was observed, so the patient was surgically intervened, performing a prolapse resection with clinical resolution

[Urethral prolapse in a girl with urogenital bleeding]. / Prolapso uretral en una niña con sangrado urogenital.

Urethral prolapse is an uncommon condition that involves the distal urethra. It occurs most often in prepuberal black girls and in postmenopausal women. The reason for consultation is usually genital bleeding and/or dysuria. The treatment includes from conservative therapy to surgical interventions. We present the case of an 11-year-old white girl who came to the Emergency Room due to vaginal discharge for 6 days and genital bleeding for 3 days that was accompanied by stabbing pain in genital region, with occasional dysuria. A circular eversion of the urethral mucosa was observed, so the patient was surgically intervened, performing a prolapse resection with clinical resolution.

El prolapso uretral es una enfermedad poco frecuente que afecta a la uretra distal. Ocurre, con mayor frecuencia, en niñas negras prepúberes y en mujeres posmenopáusicas. El motivo de consulta suele ser sangrado genital y/o disuria. El tratamiento incluye desde terapia conservadora hasta operaciones quirúrgicas. Se presenta el caso de una niña blanca de 11 años que acudió a Urgencias por flujo vaginal desde hacía 6 días y sangrado genital desde hacía 3 días, que se acompañaba de dolor punzante en la región genital, con disuria ocasional. Se observó una eversión circular de la mucosa uretral con un área granulomatosa y necròtica, por lo que se intervino quirúrgicamente y se realizó una resección del prolapso, con resolución de la clínica.

Colocación de reservorios venosos centrales mediante una técnica exclusivamente ecoguiada: experiencia preliminar / Insertion of a central venous reservoir using an exclusively ultrasound guided technique: Preliminary experience

No disponible