Traumatic Spigelian Hernia Following Blunt Abdominal Trauma.

Traumatic abdominal wall hernia (TAWH) is a rare form of hernia occurring after blunt trauma to the abdomen. Traumatic Spigelian hernia is an uncommon subtype sporadically described in the literature. It is an anterior abdominal wall defect occurring along the Spigelian aponeurosis bounded laterally by the semilunar line and medially by the rectus abdominis muscle. Imaging with CT is the investigation of choice. The surgeon has a variety of treatment options ranging from the traditional midline laparotomy to laparoscopic repair with or without the use of mesh. Conservative treatment has also been advocated as a safe and feasible option in select cases. Described here is a case of traumatic Spigelian hernia following blunt abdominal trauma caused by a motorcycle handlebar in a 17-year-old male.

Giant Fibroepithelial Polyp of the Penis.

A fibroepithelial polyp (FEP) of the penis is a rare benign swelling and often under-recognised lesion that has the potential to become malignant in some cases. The pathogenesis is still unclear, but it is hypothesised to be due to chronic irritation most often associated with condom catheter use or phimosis. We describe a case of an FEP measuring 10 cm in largest diameter developing from the ventral prepuce with a longstanding post-radiation penoscrotal oedema. A 62-year-old male with a history of bladder cancer presented to the emergency department with abdominal distention, vomiting, and obstipation for three days to the emergency department. He had post-radiation penoscrotal edema for the last 10 years and penile tip growth for the last two years. Foley's catheter insertion was done through the urethra after dorsal slit of prepuce, and an incisional biopsy was sent, which was found to be an FEP.

Eccrine Porocarcinoma of the Chest Wall.

Eccrine porocarcinoma is a rare malignant tumor of skin sweat glands. It accounts for 0.005% of cutaneous tumors. It may present in a myriad of ways ranging from indolent swellings to aggressive tumors with metastasis. Notably, it is difficult to diagnose clinically. Histopathology is necessary and the pathologist often makes the diagnosis. Early intervention can lead to a curative outcome. We present a case of a 65-year-old man who presented with painless swelling in the upper back. Wide local excision was done with rhomboid flap reconstruction. The diagnosis was made postoperatively on histopathology examination. After 10 months of follow-up, there was no sign of recurrence.

Intradural extramedullary tuberculoma of the thoracic spine - A rare case report of paraparesis.

BACKGROUND: Intradural extramedullary tuberculoma of the spinal cord (IETSC) is an extremely rare form of spinal tuberculosis (TB) that is believed to be due to a host's immune reaction against the Mycobacterium protein derivatives. CASE DESCRIPTION: A 25-year-old male with human immunodeficiency virus, hepatitis C virus, and disseminated TB on antitubercular therapy for the past 8 months, presented with paraplegia of 2 months duration. When the MRI spine revealed multiple peripheral rim enhancing intradural extramedullary lesions from T6 to T8 and dorsally from T10 to T11, the patient was diagnosed with IETSC. At surgery, we countered cystic lesions adherent to the dura and the spinal cord, containing a whitish material. Postoperatively, the patient showed clinical improvement in motor power and sensation. CONCLUSION: Intradural extramedullary spinal tuberculomas in patients with a history of TB and spinal cord compression, although rare, should be considered among the differential diagnoses.