Anil Bhole

Orbital floor dermoid: An unusual presentation

Dermoid cysts are developmental abnormal arrangement of tissues and are often evident soon after birth. Its occurrence in the orbit is relatively rare. We report a case of orbital floor dermoid in an 18-year-old female patient who presented with progressive, painless swelling in the lower eyelid associated with mild proptosis of three months duration. The lesion was excised completely, and histopathology confirmed the diagnosis of dermoid cyst.

An omental teratoma in a young girl

Teratoma is the most commonly encountered germ cell tumour among the most common ovarian tumours; however, teratomas of the omentum and mesentery are extremely rare. They are usually asymptomatic or can produce compressive symptoms. The imaging features are suggestive. The present report describes such a case of primary omental teratoma encountered in a young patient, which was managed by surgical resection. The histopathological examination confirmed the diagnosis of mature cystic teratoma. Germ cell tumors are congenital tumors containing derivatives of all the three germinal layers, frequently seen in gonads. But their occurrence in extragonadal sites, such as omental teratoma, is relatively rare.

Diffuerent Locations of Hydatid Cysts: Case Illustrations and Review of Literature

Hydatid disease is a parasitosis caused by Echinococcus granulosus and an important health problem worldwide. Incidental human infestation with larval form results in formation of hydatid cysts in various parts of the body, the liver being the most common site. Peritoneal cavity, spleen, kidney, spinal column, retroperitoneal space, abdominal wall, myocardium, and the thoracic wall are unusually involved.

Transilluminant naso-orbital dermoid cyst masquerading as meningocele.

Dermoid cysts are ectodermal inclusion cysts with epithelial lining in the subcutaneous tissue along the lines of embryonic fusion. Encephalocele, meningocele, hemangioma, lipoma, cephalohematoma, and sebaceous cyst are the differential diagnoses. The differentiation between them is essential for effective management to proceed. Obtaining a reliable history, completing a careful physical examination, and accurate radiographic documentation represent the first steps. We report a case of a naso-orbital dermoid cyst that was transilluminant, thus masquerading as a meningocele.

Surprises in the urinary bladder

Foreign bodies of the urinary bladder may occur by self insertion, iatrogenic means or migration from the neighbouring organs. The variety of objects found self-inserted is impressive. The patient usually presents with dysuria, poor urinary stream or retention, bloody or purulent urethral discharge, ascending urinary tract infection, urgency, and/or pelvic pain. Management should be tailored according to the nature and dimensions of the foreign body. In the following paper, we report three cases with different presentations that were managed successfully.