Right hip and pelvic pain.

Follow-up imaging confirmed a clinical suspicion.

A general practitioner primer on groin hernias.

BACKGROUND: Patients, particularly adult males, commonly present to general practice with groin hernias. Although rarely life-threatening, groin hernias can be associated with considerable morbidity and limitation of earning capacity. General practitioners should be equipped with a sound knowledge of the relevant anatomy, clinical findings and management principles in order to facilitate all aspects of the patient journey. OBJECTIVE: Drawing on evidence from the literature and personal clinical experience, this article seeks to enhance understanding of groin hernias and provide information on what is considered current best practice. DISCUSSION: A number of key points have been generated that will serve to inform the management of patients with groin hernias in the primary care setting.

Abnormalities of the external genitalia and groins among primary school boys in Bida, Nigeria.

BACKGROUND: Abnormalities of the male external genitalia and groin, a set of lesions which may be congenital or acquired, are rather obscured to many kids and their parents and Nigerian health care system has no formal program to detect them. OBJECTIVES: To identify and determine the prevalence of abnormalities of external genitalia and groin among primary school boys in Bida, Nigeria. METHODS: This was a cross-sectional study of primary school male pupils in Bida. A detailed clinical examination of the external genitalia and groin was performed on them. RESULTS: Abnormalities were detected in 240 (36.20%) of the 663 boys, with 35 (5.28%) having more than one abnormality. The three most prevalent abnormalities were penile chordee (37, 5.58%), excessive removal of penile skin (37, 5.58%) and retractile testis (34, 5.13%). The prevalence of complications of circumcision was 15.40% and included excessive residual foreskin, excessive removal of skin, skin bridges and meatal stenosis. Undescended testes were seen in 6 (0.90%) boys, with median age of 9 years and 2 were bilateral. Also, micropenis was detected in 27 (4.07%) of the pupils. CONCLUSION: Inguino-penoscrotal abnormalities are common in our community (36.20%). Screening of pre-school and school children to detect them should be introduced into the school health programs in Nigeria.

Schwanoma maligno asociado a neurofibromatosis segmentaria (tipo V) / Malignant schwannoma associated with segmental neurofibromatosis (type V)

Los tumores malignos de la vaina nerviosa periférica o schwanomas son tumores de alto grado de malignidad, que se originan de las células de Schwann de los nervios periféricos. Se localizan con mayor frecuencia en las extremidades y afectan sobre todo al sexo masculino en la edad media de la vida(AU)

Inguinal hernia containing functioning, rudimentary uterine horn and endometriosis.

BACKGROUND: Inguinal hernia containing uterus and endometriosis is exceedingly rare. Most inguinal endometriosis is located at an extrapelvic site near the round ligament. We report a case of a patient with inguinal hernia containing rudimentary uterine horn and endometriosis. CASE: A young, nulliparous, regularly menstruating woman manifested right inguinal mass and pain in the mass during menstruation. At 20 years old, she underwent a surgical procedure for right inguinal mass. Postoperative pathology findings demonstrated inguinal endometriosis. Based on the findings of magnetic resonance imaging, a history of inguinal endometriosis, and the occurrence of inguinal pain during menstruation, she was diagnosed as having incarcerated inguinal hernia containing anomalous uterus and endometriosis. A functioning, noncommunicating, rudimentary uterine horn and endometriosis were surgically removed from the hernia sac. Laparoscopy demonstrated intraabdominal unicornuate uterus, but no pelvic endometriosis. CONCLUSION: Functioning, incarcerated hernia uterus inguinale may be associated with müllerian abnormality and concomitant occurrence of inguinal endometriosis.