An Incarcerated Inguinal Hernia Masking a Reactive Nodular Fibrous Pseudotumor: A Case Report.

A reactive nodular fibrous pseudotumor (RNFP) is a rare benign tumor that is related to previous abdominal surgery, injury, or inflammation, and in patients with a history of malignancy; it is easily misdiagnosed as tumor recurrence or metastasis. We discuss the case of an 80-year-old patient who presented to the emergency department with a large non-reducible inguinal hernia. The patient was taken to the operating room for an open hernia repair through an inguinal incision.

Spontaneous Transvaginal Small Bowel Evisceration After Laparoscopic Hysterectomy.

Vaginal cuff dehiscence can be a rare complication of total hysterectomy, with an estimated prevalence of 0.032% to 1.25% and a high mortality rate of 6 to 10%.

A Unique Case of Unilateral Pseudogynecomastia.

Background/objectives: Gynecomastia is a common condition characterized by the benign enlargement of male breast tissue, often resulting from hormonal imbalances. A rare variant, unilateral pseudogynecomastia, involves enlargement due to adipose tissue accumulation without glandular proliferation and can be associated with occupational factors.

Methods: We report the case of a 45-year-old male mechanic presenting with unilateral enlargement of the left breast.

Spontaneous Splenic Rupture Secondary to Infectious Mononucleosis.

Spontaneous splenic rupture (SSR) is a relatively rare but potentially lethal complication of infectious mononucleosis (IM). While SSR is extremely rare in patients with proven IM, it is the most lethal complication of the infection (9% mortality rate) and can present completely asymptomatically or with abdominal pain and hemodynamic instability. As adolescents and young adults are the most affected population group, with this case report, we intend to raise the vigilance of any doctor treating those patients in the emergency department.