Dilip Kumar Pal

Lymphangioma circumscriptum of the scrotum following vasectomy

Lymphangioma circumscriptum is a congenital lymphatic hamartoma and rarely occurs in the male genital organs. Here we report a case of acquired lymphangioma circumscriptum of scrotum following vasectomy, which has not been reported till date. High clinical suspicion index is the clue to the clinician for diagnosis; histopathological confirmation and adequate surgical excision with deep lymphatic cisterns give the best result.

Rhinosporidiosis in southwest Bengal

Rhinosporidiosis is a non-contagious chronic granulomatous disease that is prevalent in southern India and Sri Lanka. It has been known for centuries, but the details of the disease and the precise manner of its transmission have, until recently, remained unknown. Our institution sees many cases of this disease and we investigate the management protocol and its recent advances and include a review of the published literature. A total of 152 patients who were treated at Bankura Sammilani Medical College were studied between 2005 and 2011. The most common age group affected were those aged between 11 and 20 years of age and the male-to-female ratio was 1.9:1. Three patients suffered recurrent disease – one experienced it on the same site and the others on distant sites. Eleven patients with inadequate excision in which the margins were not free from disease were treated with dapsone therapy without any reported recurrence. It is a common disease in southwestern West Bengal. Surgical excision with electrocoagulation of the base is the main treatment, and dapsone therapy is recommended in order to prevent recurrences in multiple sites of affection and inadequate surgically excised cases. Although the disease occurs sporadically in most parts of the world, we see many patients in our area.

Haemospermia : an Indian experience

A study of 35 cases of haemospermia over a period of 7 years revealed that infection was the most common cause (40%), and in nine cases (28%) no cause for haemospermia was found. All the cases were screened for genitourinary TB, which was found to be a significant factor (14%) for haemospermia in the Indian context.

Rhinosporidiosis affecting multiple parts of the body

Rhinosporidiosis is a rare chronic granulomatous condition caused by a fungus (Rhinosporidium seeberi). It has been seen mainly in southern India, Sri Lanka and Pakistan. This is the first published report of a patient with multiple rhinosporidiosis. He had lesions in the nares, in multiple areas of the skin, in the external urethral meatus, glans of penis and the perineum.

Urachal adenocarcinoma masquerading as an urachal cyst

Urachal adenocarcinoma arising in the dome of the bladder or at the pre-existing urachal remnant is rare. An early case of urachal cyst harboring adenocarcinoma, clinically diagnosed as ovarian tumor, which was surgically removed with a good prognosis is reported.

Rhinosporidiosis of distal radius: A case report with review of literature

Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi , mainly affecting the mucous membrane of nose, nasopharynx, and eyes. Involvement of bone though rare has been reported along with other mucocutaneous lesions. But bony involvement without any mucocutaneous lesion is very rare and only few cases are documented. Here we report a case of rhinosporidiosis of distal radius without any other lesion, which has not been reported in English language-peer reviewed literature, to the best of our knowledge.

An unusual cause of obstructive uropathy: primary retrovesical hydatid cyst

The incidence of hydatid disease in genitourinary system is very low and isolated involvement in retrovesical region is rare [1–3]. Here is a report of a case of retrovesical hydatid cyst leading to obstructive uropathy with successful outcome.