Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis Syndrome in Adulthood: A Diagnostic Challenge.

A patient in her early 20s presented with constant and progressive lower abdominal and back pain, mainly on the right side of the abdomen, purulent vaginal discharge and pyrexia. A radiological assessment revealed a possible tubo-ovarian abscess and the incidental diagnosis of ipsilateral renal agenesis. The patient was treated for pelvic inflammatory disease (PID); however, after antibiotic administration and since the symptoms did not resolve, an abdominal MRI was requested, which revealed uterus didelphys with two cervices, an obstructed haemivagina and evidence of haematocolpos. The diagnosis of Obstructed Hemi-Vagina with Ipsilateral Renal Agenesis (OHVIRA) syndrome was confirmed, and the patient underwent the excision of the vaginal septum, the drainage of the haematopyocolpos and the laparoscopic drainage of the tubo-ovarian abscess. She achieved a good recovery.

Quantification of radiological hazards associated with natural radionuclides in soil, granite and charnockite rocks at selected fields in Ekiti State, Nigeria.

Assessment of activity levels of radionuclides that exist in soil, granite, and charnockite rock samples is very crucial because it exhibits an enhanced elemental concentration of uranium (U) and thorium (Th) contributing higher natural background activity than usual in the environment and it may cause health risk to human health through the external and internal exposure. This study determined the radioactivity levels of 238U, 232Th, and 40K radionuclides in soil, granite, and charnockite rock samples collected from selected fields in Ekiti State, Nigeria using Caesium iodide CsI(Tl) scintillation gamma spectrometer. It also evaluated indices of the radiological parameters consisting of radium equivalent activity (Raeq), absorbed dose rate (DR), annual effective dose equivalent (AEDE), internal hazard index (Hin), and excess lifetime cancer risk (ELCR). The calculated average activity concentrations of 238U, 232Th, and 40K are 30.40 ± 0.71 Bq kg-1, 3.31 ± 0.05 Bq kg-1, and 222.25 ± 14.72 Bq kg-1, respectively, which were lower than their respective world average values. Comparatively, potassium concentrations in these collected samples have a higher value than concentrations of uranium and thorium (40K > 238U > 232Th). All the evaluated values of the radiological parameters (except DR) of the appraised radionuclides were below the global permissible limits. The granite rocks, charnockite rocks, and soils from Ekiti State in Nigeria do not pose any hazardous risk to humans, but continued monitoring is necessary when these materials are used as building materials, which cause long-term radiation exposure.

Surgisistrade mark mesh: a novel approach to repair of a recurrent rectovaginal fistula.

PURPOSE: This study was designed to repair a recurrent rectovaginal fistula using a new surgical approach that incorporates a Surgisistrade mark mesh. METHODS: A 63-year-old female with a history of recurrent rectovaginal fistula, which was treated originally by a traditional mucosal advancement flap technique, underwent a surgical procedure in which a biocompatible mesh was incorporated into the repair. RESULTS: The patient was symptom-free one-year after the procedure. CONCLUSIONS: Surgery for recurrent rectovaginal fistula incorporating a Surgisistrade mark mesh can be used as an innovative option.