A case of hernia uterine inguinale (HUI) is reported in a middle aged man, who had presented with an inguinal hernia. On exploration, a uterus with cervix, fallopian tubes and ovotestes were detected and confirmed on histopathology. Chromosomal analysis revealed 46 XY.
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Robotic Laparoscopic Assisted Treatment of Inguinal Hernia Containing an Incarcerated Ectopic Pregnancy.
CRSLS
December 2024
Rutgers New Jersey Medical School, Department of Surgery, Newark, New Jersey. (Drs. Lad, Hsiung, and Amin).
Introduction: It is rare for adult female patients to present with incarcerated inguinal hernias containing ovary, fallopian tube, or uterine tissue. Potential surgical treatment options for incarcerated inguinal hernias containing ovary, fallopian tube or uterine tissue include open inguinal hernia repair (IHR), laparoscopic or robotic IHR.
Case Description: Herein, we report a case of an adult female presenting with a unilateral incarcerated inguinal hernia containing ectopic pregnancy.
Referral patterns for common surgical procedures in Ontario: a cross-sectional population-level study.
Can J Surg
December 2024
From the Department of Mechanical & Industrial Engineering, University of Toronto, Toronto, Ont. (Seyedi, Aleman, Bodur, Carter); Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia (Baxter); the Department of Medicine, Sinai Health System, Toronto, Ont. (Bell); the Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ont. (Bell); ICES (Calzavara, Emerson), Research and Analysis (Lee); the Department of Ophthalmology, Queen's University, Kingston, Ont. (Campbell); the Department of Anesthesia, Pain Management & Perioperative Medicine, Dalhousie University, Halifax, N.S. (de Jager); the University Health Network, Toronto General Research Institute, Toronto, Ont. (Gagliardi); the University Health Network, Otolaryngology, Head and Neck Surgery, Toronto, Ont. (Irish); the Department of Family and Community Medicine, University of Toronto, Toronto, Ont. (Martin); the Medfall Group, St. Catharines, Ont. (Saxe-Braithwaite); the Women's College Hospital, Toronto, Ont. (Takata); Data and Decision Sciences, Ontario Health (Yang); Ontario Health (Cancer Care Ontario), Access to Care, Toronto, Ont. (Zanchetta); the Department of Surgery, Women's College Hospital, Toronto, Ont. (Urbach)
Background: Little is known about the existing structure and function of referral networks in the prevalent referral system for specialized surgical care in Canada, which is based on direct physician referral to specialists in a largely unmanaged referral marketplace. Our objective was to describe and analyze the referral networks of referring physicians and surgeons for common surgical procedures in Ontario, to better understand potential barriers to single-entry models.
Methods: We analyzed referral networks for patients between referring physicians and surgeons for 9 common scheduled surgical procedures from 2016 to 2019 using administrative data sources in Ontario.
A Round Ligament Mesothelial Cyst Imitating an Inguinal Hernia in a Woman of Reproductive Age.
Acta Med Acad
September 2024
Second Department of Surgery, 251 Hellenic Air Force General Hospital, Athens, Greece.
Objective: A wide range of lesions, including a mesothelial cyst of the uterine round ligament, are included in the differential diagnosis of a groin mass. Our study emphasizes the rarity of this ailment and the significance of correct preoperative diagnosis in guiding our treatment approach.
Case Report: A 43-year-old female patient, presented to our hospital with a five-year history of swelling and slight discomfort in the right groin.
Trocar scar abdominal wall adenomyoma following laparoscopic hysterectomy: case report.
J Surg Case Rep
November 2024
Obstetrics and Gynecology Department, Hospital of Lodi, Via Savoia 1, 26900, Lodi, Italy.
Article Synopsis
- * One year post-surgery, the patient presented with a painful mass under the trocar scar, which was diagnosed through imaging and a biopsy as AWE.
- * Despite initial treatment with progestogen therapy showing some pain relief, the patient eventually required surgical resection, which confirmed the presence of extrauterine adenomyoma, with no complications observed six months later. *
An uncommon presentation of persistent Mullerian duct syndrome: A 27-year-old male with Transverse Testicular Ectopia.
Int J Surg Case Rep
December 2024
King Edward Medical University, Lahore 54000, Punjab, Pakistan.
Introduction And Importance: Persistent Mullerian duct syndrome is an exceptional genetic condition that occurs secondary to mutations in AMH and AMHR-II. The individuals with this condition exhibit well-developed secondary sexual characteristics despite having a uterus and fallopian tubes. The case mentioned here was worth reporting due to the scarcity of prevalence of PMDS.
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