Inguino-scrotal Hernia

Name: Guljar Hussain

Age: 28 Yrs

Sex: Male

Complaints: H/o lower abdominal pain.

Introduction:

Case study:  An abdominal wall defect measuring ~33 mm noted in the right inguinal region with herniation of omental fat and bowel loop as content extending into the inguinal canal and reaching into the ipsilateral scrotal sac.

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Conclusion: Right inguino-scrotal hernia

Acute appendicitis with appendicolith

Name: Podiyamma
Age: 72 Yrs Sex: Female

Complaints: To r/o renal calculi. Introduction:

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Case study:  RIF: Mild probe tenderness present. Appendix visualized enlarged, measures ~10 mm and shows a calculus measuring ~5.3 mm at the tip. Periappendiceal inflammatory changes noted in the form of wall edema and minimal fluid. Images Conclusion: Appendix appears enlarged with surrounding inflammatory changes and a calculus at the tip. – Features in favour of acute appendicitis with appendicolith. Suggested BRE and CRP correlation.                    

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Diffuse mesenteric lymphadenopathy

Name: Sabith

Age: 3 Yrs

Sex: Male

Complaints: H/o abdominal pain.

Introduction:

Case study:  RIF: No probe tenderness present. Appendix visualized, appears normal. No evidence of free fluid.  Numerous enlarged mesenteric lymphnodes noted in the umbilical and bilateral para-umbilical region, largest measuring ~15 x 8 mm in the right with poorly maintained fatty hilum.

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Conclusion: Numerous enlarged mesenteric lymphnodes in the umbilical and bilateral para-umbilical region as described. – Features in favour of diffuse mesenteric lymphadenopathy.

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Gall bladder hydrops

Name: Padmakumari

Age: 71 Yrs

Sex: Female

Complaints: H/o fall.

Introduction:

Case study:  The gall bladder is over distended. Well defined echogenic sludge ball measuring ~16 x 15 mm seen impacted at the neck. The wall thickness appears normal.

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Conclusion: Gall bladder appears over distended with impacted sludge ball at the neck. – K/c/o gall bladder Hydrops.

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Congenital bladder wall lesion

Name: Bavith

Age: 6 months

Sex: Male

Complaints: H/o hematuria

Introduction:

Case study:  The urinary bladder is distended. There are no calculi. Posterior bladder wall appear diffusely thickened with lobulated mass like appearance, maximum thickness ~7.8 mm. Multiple floating echogenic internal echoes noted in the bladder. – Pus cells.

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Conclusion: Posterior urinary bladder wall appears diffusely thickened with lobulated mass like appearance. – ? Bladder wall lesion. Suggested cystoscopic examination.

 

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Urinary bladder wall neoplasm

Name: Vijayan

Age: 76 Yrs

Sex: Male

Complaints:

Introduction:  C/o hematuria

Case study:  Urinary bladder is partially distended. There are no calculi or trabeculae.

Well defined polypoidal mass lesion with significant internal vascularity measuring ~4.5 x 3.7 cm noted arising from the left lateral posterior wall of urinary bladder.

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Conclusion: Well defined polypoidal mass lesion in the urinary bladder with significant internal vascularity. – Features in favour of bladder wall neoplasm.

Suggested CECT KUB for further evaluation.

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