1/5. Testicular proximity can induce gubernaculum formation after delivery.PURPOSE: This paper presents the hypothesis that after delivery as late as 38 weeks' gestation, a testis placed near the internal ring can induce the formation of a gubernaculum and undergo a belated but otherwise normal descent. methods: Two boys with a gastroschisis were each born with one of their testes prolapsed through the defect. The testis was sutured just lateral to the deep inferior epigastric vessels at the time of the primary closure of the gastroschisis. RESULTS: One boy born at 34 weeks had his left testis prolapsed through a left-sided gastroschisis defect. At 3 months, he was admitted to the hospital with a large left inguinal hernia. The repair was complicated by the presence of a large mass of jellylike tissue extending through the internal ring to the upper scrotum. A second boy was born at 38 weeks' gestation. The testis made its way uneventfully into the right hemiscrotum by 10 months of age. CONCLUSION: These cases suggest that testicular proximity is a critical factor in the formation of the gubernaculum and that the testis can induce the formation of the gubernaculum as late as 38 weeks gestation.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/5. Fallopian tube prolapse mimicking aggressive angiomyxoma.A 68-year-old woman presented with a 4-cm polypoid bleeding mass protruding from the vaginal apex 30 years after vaginal hysterectomy. laparotomy did not confirm the clinical suspicion of bowel prolapse and led to resection of the mass. Microscopic examination revealed a hypocellular edematous lesion with glandular areas resembling fallopian tube epithelium. Condensation of eosinophilic fibrils around medium sized vessels was marked. This case of fallopian tube prolapse shows an unusual resemblance of aggressive angiomyxoma and thus poses a diagnostic pitfall.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/5. vasa previa.Diagnosis of vasa previa requires a high index of suspicion. vasa previa must be included in the differential diagnosis of all cases of third trimester bleeding. When pulsatile vessels are palpated preceding the fetal vertex, vasa previa should be considered along with cord prolapse. early diagnosis and intervention result in a favorable fetal outcome in this rare condition.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
4/5. Innocent aberrant renal vessels producing ureteropelvic junction obstruction.hydronephrosis caused by a triad of weight loss, renal ptosis, and the presence of lower pole aberrant renal vessels in two adults, with review of literature and surgical approach to this problem, is discussed.- - - - - - - - - - ranking = 5keywords = vessel (Clic here for more details about this article) |
5/5. chest pain and bilateral atrioventricular valve prolapse with normal coronary arteries in isolated corrected transposition of the great vessels. Clinical, angiographic and metabolic features.A man evaluated for disabling chest pain was found to have isolated anatomically corrected transposition of the great vessels. angiography demonstrated right and left atrioventricular (A-V) valve prolapse and normal coronary arteries. Atrial pacing produced chest pain, ischemic electrocardiographic changes, abnormal myocardial lactate metabolism and marked elevation of the left ventricular end-diastolic pressure; all of these changes returned to normal on termination of pacing. The association of corrected transposition and bilateral A-V valve prolapse and the possible causes of myocardial ischemia in this patient are discussed.- - - - - - - - - - ranking = 5keywords = vessel (Clic here for more details about this article) |