Distal ureteric atresia presenting as an abdominal lump in an adult

A 26-year-old female, presented with discomfort and a lump in the left side of abdomen. Examination showed a non-tender cystic mass in the left lumbar region extending down to the pelvis, the lower limit being palpable through the left fornix. Investigations revealed a cystic mass extending from the left renal area to the pelvis and a non-visualized left kidney. Cystoscopy could not identify the left ureteric orifice. Surgical exploration showed a blind ending left ureter as a cystic mass, containing clear fluid capped by a hypoplastic left kidney. The mass extended from the left renal area to the pelvis. Left sided nephroureterectomy was performed

Benign pneumoperitoneum following road accident: A case report

A 42-year-old male patient a victim of road accident developed pneumothorax which was successfully treated with an intercostal drainage. On the third day he developed sudden abdominal distension with rigidity. X-ray abdomen revealed free gas under both domes of the diaphragm. At laparotomy a thorough search did not reveal any hollow organ injury

Distal ureteric atresia presenting as an abdominal lump in an adult

A 26-year-old female, presented with discomfort and a lump in the left side of abdomen. Examination showed a non-tender cystic mass in the left lumbar region extending down to the pelvis, the lower limit being palpable through the left fornix. Investigations revealed a cystic mass extending from the left renal area to the pelvis and a non-visualized left kidney. Cystoscopy could not identify the left ureteric orifice. Surgical exploration showed a blind ending left ureter as a cystic mass, containing clear fluid capped by a hypoplastic left kidney. The mass extended from the left renal area to the pelvis. Left sided nephroureterectomy was performed

Case Report - Spontaneous rupture of rectum with prolapse of small gut through the anus - a case report

A 72-year-old lady presented with prolapsed loops of small bowel through the anus without any history of local trauma or instrumentation. The event followed excessive straining during defecation. Exploratory laparotomy revealed a deep pouch of Douglas, and rent on the anterior wall of the rectum, through which the bowel had prolapsed. The eviscerated small gut was reduced after proper cleansing and the rent on the rectal wall repaired without diverting colostomy. The patient had an uneventful recovery

Cystic nephroma: A multicystic renal neoplasm

A 42-year-old female presented with a complaint of abdominal pain for 3 months. Deep palpation revealed tenderness in the left lumbar region. Ultrasonography and contrast-enhanced computed tomography revealed a multiloculated cyst in the left kidney. The results of guided fine needle aspiration cytology were inconclusive. On exploration, the renal lump was found to be a smooth, well-circumscribed swelling protruding from the anterior surface of the left kidney, with no extrarenal infiltration. Left nephrectomy was performed. The cut surface of the resected specimen showed a well-circumscribed tumor containing large cystic spaces within the renal tissue. Histopathological examination revealed cystic nephroma, which is a rare neoplasm of the kidney. The postoperative course was uneventful. The patient was discharged on the 5th postoperative day. Now, at 1-year follow-up, the patient is well without any signs of recurrence on imaging