Clinical Medical

Image LibraryISSN: 2474-3682


 Open Access DOI:10.23937/2474-3682/1510186

Guide for Identification of Different Types of Hernias

Benatta Mahmoud

Article Type: Image Article | First Published: September 29, 2021

A 40-year-old man with left lumbar penetrating trauma 30 days ago. On the day of trauma, the urgency surgeon repaired multiple ileal injuries, and the patient returned home (Figure 1). We readmitted the patient because of left lumbar pain and sped up transit. Ultrasonography showed a retroperitoneal collection. Urography showed ureteral enteric communication We performed a left double J. Transit return to normality and lumbar pain disappeared. Three months later, we removed Double J removed. Go...

 Open Access DOI:10.23937/2474-3682/1510185

A Guide for Identification of Different Types of Hernias

Alhad Mulkalwar, Apoorva Doshi, Tanmay Jadhav and Samir Deolekar

Article Type: Image Article | First Published: September 29, 2021

A hernia is defined as an abnormal protrusion of a viscus or part of a viscus through a normal or abnormal opening in the cavity in which it is contained. It is an area of weakness or disruption of the fibromuscular tissues of the body wall. Inguinal hernia is the most common type of hernia (73%), followed by incisional (15%) and femoral hernia (7%). This article describes these common types of hernias with an example each, along with their major characteristics and identification points. This c...

 Open Access DOI:10.23937/2474-3682/1510184

A Guide for Identification of Ulcers of the Lower Limb

Alhad Mulkalwar, Apoorva Doshi and Samir Deolekar

Article Type: Image Article | First Published: September 18, 2021

An ulcer is defined as a breach in the continuity of the skin or a mucous membrane with molecular death of the cells due to underlying inflammation. Figure 1 depicts the different parts of an ulcer. The article describes four different types of ulcers of the lower limb commonly encountered in the surgical wards, with their major characteristics and markers of identification. There are certain distinct features to identify the trophic ulcer in Figure 2 on visual inspection. The location of the ul...

 Open Access DOI:10.23937/2474-3682/1510183

Vesico-Vaginal Fistulae

Benatta Mahmoud

Article Type: Image Article | First Published: September 18, 2021

42 years deaf virgin female consulted for urine permanent leakage through vagina. She had gynecologic surgery six months ago for uterine fibroids. Classic physical examination was limited. Digital touch and speculum and by methylene blue test, was not performed because the patient and her family did not agree. Diagnosis of vesico-vaginal fistula made mainly by radiology imaging (Figure 1 and Figure 2). Retrograde and mictionnal uretro-cystography showed a clear leakage of contrast from the bladd...

 Open Access DOI:10.23937/2474-3682/1510175

Intravesical Stone Necklace

MZYIENE Mohammed, ZIBA Ouima Justin Dieudonné, ENNACIRI Soufiane, MARRAKCHI Jaafar, BENAAMAR Mohammed, RAJI Youness, AHSAINI Mustapha, MELLAS Soufiane, TAZI Mohammed Fadl, EL-AMMARI Jalal Eddine, ELFASSI Mohammed Jamal and FARIH Moulay Hassan

Article Type: Image Article | First Published: March 18, 2021

The incidence of bladder stones in Western countries is relatively low, most commonly found in developing countries due primarily to dietary factors. The most affected areas are the countries of the Middle East, North Africa and Thailand, Indonesia and Myanmar. We report the case of a 73-years-old patient, followed For Low Urinary Tract Symptoms (LUTS) treated by alpha- blocker complicated by acute urinary retention and finally carrier of a vesical catheter. The ultrasound exploration showed a p...

 Open Access DOI:10.23937/2474-3682/1510174

Giant Seborrheic Keratoses: An Historical Case

S. Belmourida, M. Meziane, N. Ismaili, L. Benzekri and K. Senouci

Article Type: Image Article | First Published: March 08, 2021

Seborrhoeic keratoses are benign tumors that mainly occur in the head and in the trunk. Their size generally varies from a few millimeters up to a few centimeters. Giant lesions are very rare but pose a problem in terms both of treatment and transformation. We report a case of giant seborrhoeic keratoses in an elderly man remarkable for their chronic evolution and their impressive size. We report the case of a 90-year-old man, with no particular past medical history, who presented with asymptoma...

 Open Access DOI:10.23937/2474-3682/1510173

Natal Teeth: Baby Born with Two Teeth

Rafia Jabbar, MBBS and Arsia Hanif, MBBS

Article Type: Image Article | First Published: March 04, 2021

A 27-year-old female gave birth to a baby boy via spontaneous vaginal delivery at term. The mother had an uneventful prenatal course. The APGAR scores were 9 at 1 minute, 9 at 5 minutes, and 10 at 10 minutes. The baby weighed 2.9 kgs, had no signs of distress, and had a normal head-to-toe examination. During examination of the oral cavity, crowns of two teeth were observed in the anterior mandible, i.e., in the lower jaw. The teeth exhibited grade II mobility. The gingivae, tongue, and buccal mu...

 Open Access DOI:10.23937/2474-3682/1510172

Patellar Epithelioid Malignant Peripheral Nerve Sheath Tumour (MPNST) Mimicking Sebaceous Cyst

Nurwahyuna ROSLI, TAN Geok Chin and Wan Syahira Ellani WAN AHMAD KAMMAL

Article Type: Image Article | First Published: March 04, 2021

A 75-year-old man presented with a slow-growing patellar swelling with no history of pain or trauma to the site. The mass was clinically diagnosed as sebaceous cyst as it is well-circumscribed and located at the dermal-subcutanoeus tissue junction. Macroscopic cut section of the 40 mm, encapsulated mass showed variegated tan-yellowish cut surface with areas of haemorrhage and necrosis (Figure 1a and Figure 1b). Microscopically, it was well-circumscribed, composed of lobules of neoplastic cells s...

 Open Access DOI:10.23937/2474-3682/1510171

Malignant Melanoma of Gingiva

Seck Birame and Diallo Moussa

Article Type: Image Article | First Published: March 04, 2021

A 57-year-old Senegalese woman consulted to us for a pigmented mass inside the oral cavity evolving since 10 months. She had history of repetitive traditional tattoousing thorns on the gingiva. Intraoral examination showed a large pigmented tumour extending from the right maxillary gingiva to the left maxillary gingiva. It was 7 × 4 cm in size, firm in consistency with slight bleeding on touch. The patient also presented sub-mandibular lymphadenopathies and significant weight loss. An incisiona...

Volume 7
Issue 3