<p>The American Association for Cancer Research has declared the month of April as the global awareness month of Testicular Cancer (TC). Worldwide, TC is the most frequently reported malignancy in males aged 20 – 40 years. Testicular Cancer and Testicular Self Examination awareness should be started at home. This clinical poster is an easy approach to making the general public attending the outpatient department, understand the very basics of TC & TSE.</p>
<p>Acute appendicitis is one of the most common surgical emergencies. The clinical diagnosis augmented with the laboratory and radiology reports qualifies the patient for appendectomy. Mistreated patients in emergency, during the acute episode, sometimes present with a mass in the right iliac fossa with adhesions of the omentum and associated peritonitis. Appendico-cutaneous fistula is an uncommon presentation of appendicitis. It may present as a sinus with discharge. We report a case of a young female who presented with appendicocutaneous fistula.</p>
Following the "rule of 2", Meckel's Diverticulum (MD) is 2 inches or 5cm long. However, we report the case of an extremely large MD. To the best of our elucidated literature search, it is the first case of Giant Meckel's Diverticulum (GMD) from Pakistan presenting with post-traumatic hemoperitoneum.A 25-year-old Pakistani male presented to a surgical emergency with a two-hour history of generalized abdominal pain after blunt abdominal trauma. An exploratory laparotomy was carried out due to the deranged hemodynamic parameters and free fluid in the abdominopelvic cavity, revealing a 35 centimeters long MD with a bleeding vessel on its tip. Diverticulectomy with the repair of a small intestinal defect was performed after the evacuation of 2.5 liters of clotted blood. Histologic evaluation revealed ectopic gastric tissue. He had an uneventful post-operative stay and was discharged home.The current English scientific literature has adequate case reports documenting the complications of perforation, intestinal obstruction, and diverticulitis of Meckel's Diverticulum (MD) of normal length. However, this case report highlights the significance of an MD with an abnormal length which put the patient's life at risk of death in the setting of normal intra-operative anatomy of all other abdominal organs.
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